Active NPI
Douglas R Leder DO PA
- Ophthalmology Physician
- West Palm Beach, FL
National Provider Identifier
1992016547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS4720
- Legal business name
- DOUGLAS R LEDER DO PA
- Practice address
- 500 Northpoint Pkwy
#100
West Palm Beach, FL 33407-1903 - Phone
- (561) 686-2020
- NPI assigned
- Jun 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas R Leder, D.O.
- Title
- President
- Phone
- (561) 686-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OS4720 | FL | Primary |
Addresses
Primary practice location
500 Northpoint Pkwy
#100
West Palm Beach, FL 33407-1903
Mailing address
500 Northpoint Pkwy
#100
West Palm Beach, FL 33407-1903
Phone (561) 686-2020
National Provider Directory
National Provider DirectoryLocations
500 Northpoint Pkwy
Ste 100
West Palm Beach, FL 33407
Phone (561) 686-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1992016547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NORTHPOINT PKWY",
"address_2": "#100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071903",
"telephone_number": "561-686-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTHPOINT PKWY",
"address_2": "#100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071903",
"telephone_number": "561-686-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS R LEDER DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "LEDER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-686-2020",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "OS4720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.