LEWIS R DAN

Address: 1701 Ne 164th St, Suite 200, North Miami Beach, FL 33162-4018
Phone: 3059470027

LEWIS R DAN (NPI# 1053374140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053374140
Entity Type 1 - Individual
Full Name LEWIS R DAN
Credential MD
Practice Address 1701 Ne 164th St
Suite 200
North Miami Beach
FL 33162-4018
Mailing Address 5333 North Dixie Highway
Suite 101
Ft. Lauderdale
FL 33334
Practice Telephone 3059470027
Practice Fax Number 3059458734
Mailing Telephone 9544935033
Mailing Fax Number 9544935058
Enumeration Date 04/10/2006
Last Update Date 12/13/2011
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology ME11106 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL AARP 592722947 01
FL AETNA 2735883 01
FL 047639100 05
FL ADVANTICA EYE CARE 1053374140 01
FL AVMED 240010 01

Office Location

Street Address 1701 NE 164TH ST
SUITE 200
City NORTH MIAMI BEACH
State FL
Zip Code 33162-4018

Providers with the same location

NPI Name Address
1588658421 JOSEPH ISRAEL HOFFMAN 1701 Ne 164th St, Suite 200, North Miami Beach, FL 33162-4018
1508855537 LANELLE SHELLEMIAH WILLIAMS 1701 Ne 164th St, Suite 200, North Miami Beach, FL 33162-4018
1205875291 ALICE W HERNANDEZ-BEM 1701 Ne 164th St, North Miami Beach, FL 33162-4018
1700990553 MOUNIR ANTOINE HAGE 1701 Ne 164th St, North Miami Beach, FL 33162
1902964604 DAN HOFFMAN MD PA 1701 Ne 164th St, Suite 200, North Miami Beach, FL 33162-4018
1801209572 SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC. 1701 Ne 164th St, Suite 200, North Miami Beach, FL 33162-4018

Competitor

Search similar physicians

City NORTH MIAMI BEACH
Zip Code 33162

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Dataset Information

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.