Individual provider Active NPI

Eduardo Uchiyama, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Ft Lauderdale, FL
National Provider Identifier
1891973673
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME113967 Issued in FL
Practice address
6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1907
Phone
(954) 776-6880
Fax
(954) 229-3100
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME113967 FL
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X ME113967 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME113967 FL Primary

Addresses

Primary practice location

6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1907

Mailing address

6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1907
Phone (954) 776-6880

Other identifiers 2

IdentifierTypeStateIssuer
0122050000MedicaidFL
14W71OtherFLBCBSFL

Other names 1

  • Eduardo Uchiyama de la Puente Other name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912000895 FL Practitioner - Ophthalmology 9133399694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1909
Phone (954) 776-6880

Hospital & facility affiliations

  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113967FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince Sep 1, 2014 Accepting new patients
Kevin T Kelly M D PA Ophthalmology PastSince Sep 1, 2014 Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

8190 S Jog Rd
Ste 250
Boynton Beach, FL 33472
Phone (561) 737-1355

6298 Linton Blvd
Ste 104
Delray Beach, FL 33484

6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880

4000 Hollywood Blvd
#190N
Hollywood, FL 33021
Phone (954) 894-7020

4000 Hollywood Blvd
Ste 190N
Hollywood, FL 33021

1776 N Pine Island Rd
Ste 312
Plantation, FL 33322
Phone (954) 452-4500

1397 Medical Park Blvd
Ste 240
Wellington, FL 33414
Phone (561) 784-3788

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1891973673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-776-6880",
            "fax_number": "954-229-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-776-6880",
            "fax_number": "954-229-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHIYAMA",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME113967",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "FL",
            "license": "ME113967",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME113967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122050000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14W71",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "UCHIYAMA DE LA PUENTE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.