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NOVA SOUTHEASTERN UNIVERSITY INC NPI 1891833661


NPI Information

NPI: 1891833661
Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 10D2093069

Address:
1111 W BROWARD BLVD
FT LAUDERDALE, FL
ZIP 33312
Phone: (954) 525-1351
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NOVA SOUTHEASTERN UNIVERSITY, INC is an optometrist in Ft Lauderdale, FL. The provider is 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. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1891833661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 W BROWARD BLVD
FT LAUDERDALE, FL
ZIP 33312-638
Phone: (954) 525-1351
Fax: (954) 779-1770

The provider's authorized official is Robert S Oller .
The authorized official title is Clinical Operations and has the following contact phone number (954) 262-4343.

The CLIA number assigned to this NPI record is 10D2093069 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/2/2007 and was last updated on 6/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198673AOTHERFLORIDAMEDICARE GROUP NUMBER
2078488500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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