Individual provider Active NPI

Julian Prosia, OD

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1942872643
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5955 Issued in FL
Practice address
9325 Glades Rd Ste 201
Boca Raton, FL 33434-3988
Phone
(561) 488-1001
Fax
(561) 353-1694
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5955 FL Primary

Addresses

Primary practice location

9325 Glades Rd Ste 201
Boca Raton, FL 33434-3988

Mailing address

9325 Glades Rd Ste 201
Boca Raton, FL 33434-3988
Phone (561) 488-1001

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.westbocaeyecenter.com Other
Other URL Www.WestBocaEyeCenter.Com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5955FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye of Horus PA CurrentSince Jul 23, 2021 Accepting new patients
Eye Physicians of Florida LLP PastSince Jul 23, 2021 Accepting new patients

Locations

9325 Glades Rd
Ste 201
Boca Raton, FL 33434
Phone (561) 488-1001

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1942872643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-488-1001",
            "fax_number": "561-353-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-488-1001",
            "fax_number": "561-353-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSIA",
        "first_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.westbocaeyecenter.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "URL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "9325 Glades Rd Ste 201",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334343988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.WestBocaEyeCenter.Com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "9325 Glades Rd Ste 201",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334343988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.