ERIC D. MEDINA PLLC (NPI# 1548819618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548819618 |
| Entity Type | Organization |
| Organization Name | ERIC D. MEDINA PLLC |
| Practice Address |
18156 Clear Brook Cir Boca Raton FL 33498-1943 |
| Practice Telephone | 5612519099 |
| Mailing Telephone | 5612519099 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | ERIC MEDINA (OWNER) |
| Authorized Official Telephone | 5612519099 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | ME135030 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Clint Moore Rd Ste 130, Boca Raton, FL 334875714 | 5612519099 |
| Street Address |
18156 CLEAR BROOK CIR |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33498-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275146 | Cindy Bonilla | Nurse Practitioner | 10788 Barque Court, Boca Raton, FL 33498 | 2015-01-22 |
| 1386982213 | Mohammad Ali Wehbe | Physician Assistant | 11657 Sw Rowena St, Post Saint Lucie, FL 33498 | 2013-01-28 |
| 1962748020 | Delores Arnold | Ophthalmology | 11750 Watercrest Lane, Boca Raton, FL 33498 | 2012-12-18 |
| 1427308022 | Joshua Corey Stern | Massage Therapist | 10631 Stonebridge Blvd., Boca Raton, FL 33498 | 2012-09-12 |
| 1538417472 | Karen Sue Schneider | Social Worker | 19335 Skyridge Circle, Boca Raton, FL 33498 | 2012-08-27 |
| 1124387311 | Children's Dental Place of Boca Raton,inc | Dentist | 20401s. S.r. #7, G-14, Boca Raton, FL 33498 | 2012-05-09 |
| 1033421763 | Stat Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 19892 Dinner Key Dr., Boca Raton, FL 33498 | 2010-07-10 |
| 1467699900 | Shira N Hammer | Occupational Therapist | 20285 Ocean Key Dr, Boca Raton, FL 33498 | 2009-01-20 |
| 1467673954 | Danna S Fichtel | Pharmacist | 9851 Glades Rd, Boca Raton, FL 33498 | 2007-05-01 |
| 1215158969 | Anthony N Dardano | Obstetrics & Gynecology | 20301 Hacienda Court, Boca Raton, FL 33498 | 2007-05-01 |
| Find all providers in zip 33498 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326513755 | Advanced Eye Surgeons | Ophthalmology | 9980 Central Park Blvd N Ste 118, Boca Raton, FL 33428-1703 | 2018-10-12 |
| 1578071171 | Boca Medical Group | Ophthalmology | 1700 S Dixie Hwy Ste 206, Boca Raton, FL 33432-7452 | 2018-01-17 |
| 1699292466 | Valeyes.inc | Ophthalmology | 4400 North Federal Hwy Suite 48, Boca Raton, FL 33431 | 2017-08-23 |
| 1730592569 | Stephen Rosenthal | Ophthalmology | 17097 Huntington Park Way, Boca Raton, FL 33496-2921 | 2014-06-10 |
| 1346684370 | Irving Baras | Ophthalmology | 21241 Clubside Dr Apt A, Boca Raton, FL 33434-4749 | 2013-04-22 |
| 1124462072 | Joshua Daniel Cohen | Ophthalmology | 3020 N Military Trl Ste 150, Boca Raton, FL 33431 | 2013-04-22 |
| 1033457338 | George Liss | Ophthalmology | 19532 Bay View Rd, Boca Raton, FL 33434-5101 | 2013-01-21 |
| 1962748020 | Delores Arnold | Ophthalmology | 11750 Watercrest Lane, Boca Raton, FL 33498 | 2012-12-18 |
| 1295096311 | Leslie David Monroe, M.d. | Ophthalmology | 9250 Glades Road, Suite 105, Boca Raton, FL 33434-3958 | 2012-06-05 |
| 1619248804 | Michael Jay Henick | Ophthalmology | 22378 Boyaca Ave., Boca Raton, FL 33433-4625 | 2012-01-19 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33498 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.