Florida Eye Doctors, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1598 Issued in FL

Legal business name

FLORIDA EYE DOCTORS, INC

Doing business as

Florida Eye Doctors

Practice address

1000 North Congress Avenue Suite 150
Boynton Beach, FL 33426-3337

Phone

(561) 734-2172

Fax

(561) 734-2847

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

FLORIDA EYE DOCTORS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Salvatore Florencio Decanio, O.D.NPI 1538142302

Title

President/Ceo

Phone

(561) 665-0437

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Florida Eye Doctors Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Florida Eye Doctors Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salvatore De Canio, O.D., F.A.A.O.

  • Corneal and Contact Management Optometrist
  • Naples, FL
  • NPI 1538142302
  Medicare reassignment NPD Authorized official
• Diana Cajamarca, O.D.

  • Low Vision Rehabilitation Optometrist
  • Boynton Beach, FL
  • NPI 1790993939
  NPD (past)
• Jason J Eugenides, O.D.

  • Optometrist
  • Naples, FL
  • NPI 1265574578
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1982086211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 PALO VERDE DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363053",
            "telephone_number": "561-734-2172",
            "fax_number": "561-734-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH CONGRESS AVENUE SUITE 150",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263337",
            "telephone_number": "561-734-2172",
            "fax_number": "561-734-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE DOCTORS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA EYE DOCTORS, INC",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "DECANIO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "FLORENCIO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "561-665-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1598",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0782009-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Eye Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.