Organization Active NPI

Richard Pitera, M.D

  • Ophthalmology Physician
  • Coconut Creek, FL
National Provider Identifier
1881002335
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0050078 Issued in FL
Legal business name
RICHARD PITERA, M.D
Practice address
4855 W. Hillsboro Blvd
Suite B7
Coconut Creek, FL 33073
Phone
(954) 974-5820
Fax
(954) 975-7517
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Pitera, M.D.NPI 1821040585
Title
Owner
Phone
(954) 974-5820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0050078 FL Primary

Addresses

Primary practice location

4855 W. Hillsboro Blvd
Suite B7
Coconut Creek, FL 33073

Mailing address

4855 W. Hillsboro Blvd
Suite B7
Coconut Creek, FL 33073
Phone (954) 974-5820

National Provider Directory

National Provider Directory

Locations

4855 W Hillsboro Blvd
Ste B7
Coconut Creek, FL 33073
Phone (954) 974-5820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1881002335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W. HILLSBORO BLVD",
            "address_2": "SUITE B7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-974-5820",
            "fax_number": "954-975-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W. HILLSBORO BLVD",
            "address_2": "SUITE B7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-974-5820",
            "fax_number": "954-975-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PITERA, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "PITERA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-974-5820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0050078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.