Individual provider Active NPI

Franklin Jay Rivenson, O.D.

  • Optometrist
  • Coconut Creek, FL
National Provider Identifier
1982817631
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3762 Issued in FL
Practice address
5571 W Hillsboro Blvd
Coconut Creek, FL 33073-4376
Phone
(561) 574-6735
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3762 FL Primary

Addresses

Primary practice location

5571 W Hillsboro Blvd
Coconut Creek, FL 33073-4376

Mailing address

8022 Tangelo Dr
Boynton Beach, FL 33436
Phone (561) 758-1254

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
I20130424000926 FL Practitioner - Optometry 5890931539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lo and Rivenson, O.D., P.a.Group PAC ID 1254577992, 3 clinicians

Practice addresses (Care Compare)

5555 W Atlantic Blvd
Margate, FL 33063-5296
Phone (561) 374-3496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lo & Rivenson, O.D., P.a. Optometrist CurrentSince Feb 16, 2013 Accepting new patients

Locations

5571 W Hillsboro Blvd
Coconut Creek, FL 33073
Phone (561) 758-1254

5555 W Atlantic Blvd
Margate, FL 33063
Phone (954) 975-5131

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1982817631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 TANGELO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-758-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734376",
            "telephone_number": "561-574-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVENSON",
        "first_name": "FRANKLIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.