DR. RALPH BOURJOLLY O.D.
NPI 1548390495
Optometrist in Pompano Beach, FL

Q: What is Ralph Bourjolly's NPI number?

The NPI number for Ralph Bourjolly is 1548390495. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Ralph Bourjolly's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ralph Bourjolly was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment

1341 S POWERLINE RD, POMPANO BEACH, FL 33069(954) 972-8900 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Ralph Bourjolly O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RALPH BOURJOLLY O.D. (NPI 1548390495) is an individual optometrist in Pompano Beach, Florida, licensed in Florida (2667) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1990).

NPPES Registry Identity

NPI1548390495

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RALPH BOURJOLLYCredential: O.D.

Location Address1341 S POWERLINE RDPompano Beach, FL 33069-4313

Mailing Address135 Weston Rd # 248Weston, FL 33326-1111 · (561) 212-5107

Phone(954) 972-8900

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 1990

Enumeration DateMarch 7, 2007

Last NPPES UpdateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1548390495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · 2667

Definition

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2667 (FL)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2667 (FL)

1341 S POWERLINE RD, Pompano Beach, FL 33069

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ralph Bourjolly O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527103829

PECOS Enrollment IDI20100310000623

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ralph Bourjolly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

20-20 Vision Place Inc

11 mi

Optometrist

12801 W SUNRISE BLVD, STE 931
Sunrise, FL 33323

Reassigned Medicare billing, Florida enrollment

NPI 1639445703 (954) 851-9949

Sunrise Eyecare Specialty Lenses And Dry Eye Institute

11 mi

Optometrist

12555 W SUNRISE BLVD
Sunrise, FL 33323

Reassigned Medicare billing, Florida enrollment

NPI 1790544922 (954) 851-9949

Anthony Schaffer Od Mba Pl

122 mi

Optometrist

3525 US HIGHWAY 27 N
Sebring, FL 33870

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1750579850 (863) 471-1413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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