NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1639028418
Optometrist in Fort Lauderdale, FL
About Nova Southeastern University, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1639028418) is a healthcare organization registered as an optometrist in Fort Lauderdale, Florida and active in the NPI registry since January 2026. The organization lists Julissa Lazala, Director Of Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nova Southeastern University, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
262Medicare enrollment records show 262 clinicians reassign Medicare billing to Nova Southeastern University, Inc, which bills Medicare for the services they deliver. Of these, 175 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 262Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nova Southeastern University, Inc's NPI number?
The NPI number for Nova Southeastern University, Inc is 1639028418. It was assigned to this organization in the NPPES registry on January 26, 2026.
Where is Nova Southeastern University, Inc located?
Nova Southeastern University, Inc is located at 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312. The listed phone number is (954) 262-4200.
What is Nova Southeastern University, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nova Southeastern University, Inc enrolled in Medicare?
Yes. Nova Southeastern University, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nova Southeastern University, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 262 clinicians in 32 Medicare specialties reassign their Medicare billing to Nova Southeastern University, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (118), Family Practice (30) and Internal Medicine (15). Of these, 175 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nova Southeastern University, Inc accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Nova Southeastern University, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nova Southeastern University, Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Nova Southeastern University, Inc · NPI 1639028418
Optometrist organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since January 26, 2026.
## Identity
- **NPI:** 1639028418 (Entity type: Organization)
- **Enumerated:** January 26, 2026
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Nova Souhteastern University, Inc)
- **Authorized official:** Julissa Lazala, DIRECTOR OF REVENUE CYCLE
## Practice location
- **Address:** 2307 W BROWARD BLVD STE 200, Fort Lauderdale, FL 33312-1420
- **Phone:** (954) 262-4200 · **Fax:** (954) 262-2269
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 262 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (118), Family Practice (30), Internal Medicine (15); 175 practice within 10 miles; [full list](https://npiprofile.com/npi/1639028418/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639028418) · Data from the CMS NPPES public registry.