Organization Active NPI

Eye Associates of Plantation Inc

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1942265368
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
100542 Issued in FL
Legal business name
EYE ASSOCIATES OF PLANTATION INC
Practice address
499 NW 70 Avenue
Suite 100
Plantation, FL 33317
Phone
(954) 792-6411
Fax
(954) 792-4460
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Jacquelyn Levy, MDNPI 1730573049
Title
Owner
Phone
(954) 792-6411

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 100542 FL Primary

Addresses

Primary practice location

499 NW 70 Avenue
Suite 100
Plantation, FL 33317

Mailing address

499 NW 70TH Ave Ste 100
Plantation, FL 33317-7572
Phone (954) 792-6411

Other identifiers 2

IdentifierTypeStateIssuer
34376OtherFLBLUE CROSS BLUE SHIELD
264482700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000612 FL Part B Supplier - Clinic/Group Practice 4082709316 Receives reassigned benefits from 5 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

499 NW 70th Ave
Ste 100
Plantation, FL 33317
Phone (954) 792-6411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10550/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1942265368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177572",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70 AVENUE",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF PLANTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-792-6411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "100542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34376",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264482700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.