Individual provider Active NPI

Alexandra Nicole Kehoe, O.D

  • Optometrist
  • Plantation, FL
National Provider Identifier
1952697625
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4614 Issued in FL
Practice address
7045 W Broward Blvd
Plantation, FL 33317-2205
Phone
(954) 625-2388
Fax
(954) 625-2390
NPI assigned
Jun 21, 2011
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002513 IA
Optometrist 152W00000X OPC4614 FL Primary

Addresses

Primary practice location

7045 W Broward Blvd
Plantation, FL 33317-2205

Mailing address

7840 Glades Rd
Ste 245
Boca Raton, FL 33434-4102
Phone (561) 482-8300

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
I20120109000744 FL Practitioner - Optometry 6204008121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Steve T Bussa OD PLLCGroup PAC ID 5193870343, 2 clinicians

Practice addresses (Care Compare)

331 N University Dr
Suite M2 1200
Plantation, FL 33324-1975
Phone (954) 625-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4614FLMDOptometrist
002513IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Steve T. Bussa O.D., P.L.L.C. Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Alexandra Kehoe, OD PLLC Optometrist CurrentSince Aug 17, 2011 Accepting new patients

Locations

7840 Glades Rd
Ste 245
Boca Raton, FL 33434
Phone (561) 482-8300

331 N University Dr
Ste M21200
Plantation, FL 33324
Phone (954) 625-2388

7045 W Broward Blvd
Plantation, FL 33317
Phone (954) 625-2388

3650 Forest Hill Blvd
Ste 2
West Palm Beach, FL 33406
Phone (561) 964-1359

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, 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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1952697625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 GLADES RD",
            "address_2": "STE 245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344102",
            "telephone_number": "561-482-8300",
            "fax_number": "561-482-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172205",
            "telephone_number": "954-625-2388",
            "fax_number": "954-625-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002513",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.