Active NPI
Alexandra Nicole Kehoe, O.D
- Optometrist
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4614
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4614 | FL | MD | Optometrist |
| 002513 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Steve T. Bussa O.D., P.L.L.C. | Optometrist | Current | Accepting new patients |
| Alexandra Kehoe, OD PLLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.