20-20 VISION PLACE INC
NPI 1639445703
Optometrist in Sunrise, FL

Q: What is 20-20 Vision Place Inc's NPI number?

The NPI number for 20-20 Vision Place Inc is 1639445703. It was assigned to this organization in the NPPES registry on March 22, 2012.

Q: What is 20-20 Vision Place Inc's specialty?

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

Active since March 22, 2012

12801 W SUNRISE BLVD, STE 931, SUNRISE, FL 33323(954) 851-9949 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About 20-20 Vision Place Inc NPPES

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

20-20 VISION PLACE INC (NPI 1639445703) is a healthcare organization registered as an optometrist in Sunrise, Florida and active in the NPI registry since March 2012. The organization lists Ralph Bourjolly, Owner, as its authorized official.

NPPES Registry Identity

NPI1639445703

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business Name20-20 VISION PLACE INC

Location Address12801 W SUNRISE BLVD, STE 931Sunrise, FL 33323-4020

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

Phone(954) 851-9949

Organization SubpartNo

Authorized OfficialRalph BourjollyOwner · (954) 851-9949

Enumeration DateMarch 22, 2012

Last NPPES UpdateNovember 20, 2023

NPPES CertifiedNovember 20, 2023

✔ NPI 1639445703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC2667

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.

12801 W SUNRISE BLVD, Sunrise, FL 33323

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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)

20-20 Vision Place Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 20-20 Vision Place Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ralph Bourjolly, O.D.

Optometry

NPI 1548390495

1341 S POWERLINE RD
Pompano Beach, FL 33069

(954) 972-8900

✔ PECOS✔ Accepts Medicare11 mi

Source: 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 20-20 Vision Place Inc's NPI number?

The NPI number for 20-20 Vision Place Inc is 1639445703. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is 20-20 Vision Place Inc located?

20-20 Vision Place Inc is located at 12801 W Sunrise Blvd Ste 931, Sunrise, FL 33323. The listed phone number is (954) 851-9949.

What is 20-20 Vision Place Inc's specialty?

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

Is 20-20 Vision Place Inc enrolled in Medicare?

Yes. 20-20 Vision Place Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 20-20 Vision Place Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to 20-20 Vision Place 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 20-20 Vision Place Inc accept?

Health plans from Oscar Health Maintenance Organization of Florida list 20-20 Vision Place 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 20-20 Vision Place Inc was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.