Individual provider Active NPI

Ashley S Nochomson, O.D.

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1891825790
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4044 Issued in FL
Practice address
2905 N Military TRL Ste G
West Palm Beach, FL 33409-2921
Phone
(561) 684-5548
Fax
(561) 684-6229
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4044 FL Primary

Addresses

Primary practice location

2905 N Military TRL Ste G
West Palm Beach, FL 33409-2921

Mailing address

10780 Oak Meadow LN
Lake Worth, FL 33449-4624
Phone (954) 806-3964

Other identifiers 1

IdentifierTypeStateIssuer
001266700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000358 FL Practitioner - Optometry 8224213467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4044FLMDOptometrist

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1891825790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 OAK MEADOW LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494624",
            "telephone_number": "954-806-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N MILITARY TRL STE G",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092921",
            "telephone_number": "561-684-5548",
            "fax_number": "561-684-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCHOMSON",
        "first_name": "ASHLEY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001266700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.