OCULOPLASTIC AND ORBITAL CONSULTANTS PA (NPI# 1114072360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114072360 |
| Entity Type | Organization |
| Organization Name | OCULOPLASTIC AND ORBITAL CONSULTANTS PA |
| Practice Address |
4060 Pga Blvd Ste 101 Palm Beach Gardens FL 33410 |
| Mailing Address |
4060 Pga Blvd Ste 101 Palm Beach Gardens FL 33410-6570 |
| Practice Telephone | 5618456500 |
| Practice Fax Number | 5618456300 |
| Mailing Telephone | 5618456500 |
| Mailing Fax Number | 5618456300 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | KIMBERLY RIDGLEY (PRACTICE MANAGER) |
| Authorized Official Telephone | 5618456500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
4060 PGA BLVD STE 101 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356439020 | Michael Adam Connor | Ophthalmology | 4060 Pga Blvd Ste 101, Palm Beach Gardens, FL 33410 | 2006-10-10 |
| 1841611233 | Amber Paprin | Nurse Practitioner | 4060 Pga Blvd Ste 101, Palm Beach Gardens, FL 33410-6570 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396137 | Kenneth Richard Kesty | Ophthalmology | 1395 Brightwaters Blvd Ne, St Petersburg, FL 33704-3807 | 2020-02-02 |
| 1356803167 | Westsite Management LLC | Ophthalmology | 10088 Indiantown Rd Ste B, Jupiter, FL 33478-4738 | 2019-04-01 |
| 1912456104 | Mitch Levin | Ophthalmology | 1402 Green Cove Rd, Winter Park, FL 32789-2551 | 2016-09-28 |
| 1457794935 | Kyle Fitzgerald Cox | Ophthalmology | 345 Clyde Morris Blvd Ste 330, Ormond Beach, FL 32174 | 2013-04-15 |
| 1619119948 | Crystal River Eye Center,llc | Ophthalmology | 295 Se Us Highway 19, Crystal River, FL 34429-4880 | 2009-04-01 |
| 1932292935 | James Randall Patrinely | Ophthalmology | 17 E Main St Ste 100, Pensacola, FL 32502-5998 | 2006-10-02 |
| 1275534182 | Karen L Chapman | Ophthalmology | 1750 S Osprey Ave, Sarasota, FL 34239-3511 | 2005-08-02 |
| 1831735224 | Mohadjer Consulting LLC | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2019-11-21 |
| 1760911796 | Dr Dan Plastic Surgery | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2017-06-04 |
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on OCULOPLASTIC AND ORBITAL CONSULTANTS PA.
| 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.