DR. MITCHELL J MARDER (NPI# 1245325133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245325133 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL J MARDER |
| Credential | O.D. |
| Practice Address |
4923 Coconut Creek Pkwy Coconut Creek FL 33063 |
| Mailing Address |
11368 Island Lks Ln Boca Raton FL 33498-6805 |
| Practice Telephone | 9549704266 |
| Practice Fax Number | 9549750416 |
| Mailing Telephone | 5614518115 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1674 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 078199100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659597243 | Mitchell L Marder | Dentist | 822 Ne Northgate Way, Seattle, WA 98125-7312 | 2007-04-18 |
| 1285673319 | Mitchell Jason Marder | Family Medicine | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4204 | 2006-06-05 |
| Street Address |
4923 COCONUT CREEK PKWY |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235491820 | Mitchell J Marder P.a. | Optometrist | 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063-3909 | 2012-06-11 |
| 1336294115 | Robert Goldsmith | Technician/Technologist | 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063-3909 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785475 | Tanzila Rahman | Optometrist | 5874 Nw 41st Way, Coconut Creek, FL 33073-4042 | 2014-06-19 |
| 1760762769 | Anisa Kristollari | Optometrist | 4413 Lyons Rd. Promenade Eye Care, Ste 101 Next To Lenscrafters Optique, Coconut Creek, FL 33073 | 2011-08-22 |
| 1437347499 | Isabel Madolyn Carvajal | Optometrist | 5140 Stagecoach Dr, Coconut Creek, FL 33073-2242 | 2007-10-04 |
| 1659591626 | Alan Martin Jones | Optometrist | 4851 West Hillsboro Blvd, A-6, Coconut Creek, FL 33073 | 2007-05-01 |
| 1780716837 | Lisa E Nadel | Optometrist | 6518 N State Road 7, Coconut Creek, FL 33073-3623 | 2007-03-12 |
| 1568522274 | Alan M Jones Od Pa | Optometrist | 4851 W Hillsboro Blvd, A-6, Coconut Creek, FL 33073-4355 | 2006-12-11 |
| 1164494464 | Andrew Steven Cass | Optometrist | 1502 Cayman Way, C4, Coconut Creek, FL 33066-3203 | 2006-02-02 |
| 1841653326 | Tanzila Rahman, O.d P.a | Optometrist | 5874 Nw 41st Way, Coconut Creek, FL 33073 | 2016-04-01 |
| 1225457716 | Promenade Eye Care, LLC | Optometrist | 4413 Lyons Rd, Suite 101 Doctors of Optometry Next To Lenscrafters, Coconut Creek, FL 33073-4383 | 2014-04-11 |
| 1235491820 | Mitchell J Marder P.a. | Optometrist | 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063-3909 | 2012-06-11 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33063 |
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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.