Individual provider Active NPI

Yin Cynthia Tea, O.D.

  • Optometrist
  • Davie, FL
National Provider Identifier
1982779294
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3459 Issued in FL
Practice address
3200 S University Dr
Nsu the Eye Institute Suite 1402
Davie, FL 33328-2018
Phone
(954) 262-1402
Fax
(954) 262-1818
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OPC3459 FL
Optometrist 152W00000X OPC3459 FL Primary

Addresses

Primary practice location

3200 S University Dr
Nsu the Eye Institute Suite 1402
Davie, FL 33328-2018

Mailing address

4982 SW 32ND Ave
Fort Lauderdale, FL 33312-6984
Phone (954) 983-3731

Other identifiers 1

IdentifierTypeStateIssuer
620577100MedicaidFL

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
I20050301000601 FL Practitioner - Optometry 6406809599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

2307 W Broward Blvd
Suite 200
Fort Lauderdale, FL 33312-1420
Phone (954) 262-4200

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3459FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Nova Southeastern University, Inc Optometrist CurrentSince Jun 24, 2004 Accepting new patients
Nova Southeastern University Inc. CurrentSince Jun 24, 2004 Accepting new patients

Locations

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

3200 S University Dr
Ste 1402
Davie, FL 33328
Phone (954) 262-1402

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

1111 W Broward Blvd
Fl 2
Fort Lauderdale, FL 33312
Phone (954) 262-4282

1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

16855 NE 2nd Ave
Ste 4
North Miami Beach, FL 33162

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

819 NE 26th St
Bldg C
Wilton Manors, FL 33305

819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1982779294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 SW 32ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126984",
            "telephone_number": "954-983-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "NSU THE EYE INSTITUTE SUITE 1402",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-1402",
            "fax_number": "954-262-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEA",
        "first_name": "YIN",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC3459",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620577100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.