Individual provider Active NPI

Amy Hollander Wolnerman, O.D.

  • Corneal and Contact Management Optometrist
  • Boca Raton, FL
National Provider Identifier
1992084453
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1453 Issued in FL
Practice address
5900 Glades Rd
Boca Raton, FL 33431-7203
Phone
(561) 338-7050
Fax
(561) 368-2376
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1453 FL Primary

Addresses

Primary practice location

5900 Glades Rd
Boca Raton, FL 33431-7203

Mailing address

22235 Morning Glory Ter
Boca Raton, FL 33433-4811
Phone (515) 865-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1453FLMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1992084453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22235 MORNING GLORY TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334811",
            "telephone_number": "515-865-3522",
            "fax_number": "561-395-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317203",
            "telephone_number": "561-338-7050",
            "fax_number": "561-368-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLNERMAN",
        "first_name": "AMY",
        "middle_name": "HOLLANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.