Javier Archilla (NPI# 1235552142, PAC ID# 4385865765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1235552142 |
| PAC ID by PECOS | 4385865765 |
| Professional Enrollment ID | I20141028002737 |
| Full Name | Javier Archilla |
| Organization Legal Name | MOBILE DOCTORS OF FLORIDA PA |
| Address |
3670 W Oakland Park Boulevard Lauderdale Lakes FL 33311-1148 |
| Phone Number | 3057178181 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527100320 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100277 | DOUGLAS GARDENS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3670 W Oakland Park Boulevard, Lauderdale Lakes, FL 33311-1148 | 3057178181 | MOBILE DOCTORS OF FLORIDA PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Organization Legal Name | MOBILE DOCTORS OF FLORIDA PA |
| Physicians | 1 |
| Street Address |
3670 W OAKLAND PARK BOULEVARD |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip | 33311-1148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Charles Carney | Physical Medicine and Rehabilitation | Catholic Health Services Inc | 3487 Nw30th St, Lauderdale Lakes, FL 33311-1103 |
| Bashir U Shaikh | Internal Medicine | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Robert D Schickler | Obstetrics/gynecology | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Pierre A Gaston | General Practice | 2901 W Oakland Park Blvd, A 4 5, Oakland Park, FL 33311-1243 | |
| Emmanuel Eloi | General Practice | 2764 W Oakland Park Blvd, Ft Lauderdale, FL 33311-1336 | |
| Arlene B Crystal | Clinical Social Worker | 2880 W Oakland Park Blvd, Suite 226, Oakland Park, FL 33311-1368 | |
| Claudia Navas | Diagnostic Radiology | Elite Imaging LLC | 1799 W Oakland Park Blvd, Suite 105, Oakland Park, FL 33311-1537 |
| Louis M Newman | Podiatry | 512 W Oakland Park Blvd, Wilton Manors, FL 33311-1726 | |
| Mary B Lopez | Clinical Psychologist | Center for Clinical and Forensic Psychology Inc | 2251 Nw29th Ct, Oakland Park, FL 33311-2147 |
| David F Saketkoo | Psychologist, Clinical | 2675 N Andrews Ave, Ft Lauderdale, FL 33311-2509 | |
| Find all physicians in zip 33311 | |||
| City | LAUDERDALE LAKES |
| Zip Code | 33311 |
| Specialty | OPTOMETRY |
| City + Specialty | LAUDERDALE LAKES + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.