OCULOPLASTIC AND ORBITAL CONSULTANTS PA
NPI 1114072360
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Palm Beach Gardens, FL

Active since January 25, 2007
4060 PGA BLVD STE 101, PALM BEACH GARDENS, FL 33410(561) 845-6500(561) 845-6300 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Ophthalmology
  • Ophthalmic Plastic and Reconstructive Su...

About OCULOPLASTIC AND ORBITAL CONSULTANTS PA

This page provides the complete NPI Profile along with additional information for Oculoplastic And Orbital Consultants Pa, a provider established in Palm Beach Gardens, Florida operating as a Ophthalmology, focusing in ophthalmic plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1114072360 assigned on January 2007. The practitioner's primary taxonomy code is 207WX0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Oculoplastic And Orbital Consultants Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kimberly Ridgley (Practice Manager)

NPI
1114072360 Verify this NPI
Provider Name
OCULOPLASTIC AND ORBITAL CONSULTANTS PA
Entity Type
Organization
Location Address
4060 PGA BLVD STE 101 PALM BEACH GARDENS, FL 33410
Location Phone
(561) 845-6500
Location Fax
(561) 845-6300
Mailing Address
4060 PGA BLVD STE 101 PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 845-6500
Mailing Fax
(561) 845-6300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
05-23-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Code
207WX0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY RIDGLEY

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(561) 845-6500

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Ophthalmology
4060 PGA BLVD STE 101
PALM BEACH GARDENS, FL 33410
Licensed Practical Nurse
4060 PGA BLVD STE 101
PALM BEACH GARDENS, FL 33410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114072360, enumerated as an "organization" on January 25, 2007.

The provider is located at 4060 PGA BLVD STE 101 PALM BEACH GARDENS, FL 33410 and the phone number is (561) 845-6500.

Ophthalmology with taxonomy code 207WX0200X and a focus in Ophthalmic Plastic and Reconstructive Surgery.