Organization Active NPI

Douglas R Leder DO PA

  • Ophthalmology Physician
  • West Palm Beach, FL
National Provider Identifier
1992016547
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS4720 Issued in FL
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

Updated by the provider on Jun 29, 2010

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.