Individual provider Active NPI

Erica J Bleecker, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1982590659
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6713 Issued in FL
Practice address
PO Box 290201
Davie, FL 33329-0201
Phone
(315) 877-5164
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6713 FL Primary

Addresses

Primary practice location

PO Box 290201
Davie, FL 33329-0201

Mailing address

PO Box 290201
Davie, FL 33329-0201
Phone (315) 877-5164

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
I20251215003362 FL Practitioner - Optometry 1254825458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2495 SW 82ND Ave Apt
Suite 301
Davie, FL 33324-5799

5800 S University Dr
Davie, FL 33328-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6713FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blinking Owl Eyecare LLC Optometrist CurrentSince Nov 9, 2025 Accepting new patients

Locations

5800 S University Dr
Davie, FL 33328
Phone (954) 252-2583

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1982590659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333290201",
            "telephone_number": "315-877-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 290201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333290201",
            "telephone_number": "315-877-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEECKER",
        "first_name": "ERICA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.