Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1891833661
Optometrist in Ft Lauderdale, FL

Active since February 02, 2007
1111 W BROWARD BLVD, FT LAUDERDALE, FL 33312(954) 525-1351(954) 779-1770 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Jul 11, 2023 (2 updates tracked since 2023).

About Nova Southeastern University, Inc NPPES

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

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1891833661) is a healthcare organization registered as an optometrist in Ft Lauderdale, Florida and active in the NPI registry since February 2007. The organization lists Julissa Lazala, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1891833661
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNOVA SOUTHEASTERN UNIVERSITY, INC
Location Address1111 W BROWARD BLVDFt Lauderdale, FL 33312-1638
Mailing AddressPo Box 290370Ft Lauderdale, FL 33329-0370 · (954) 262-4343 · Fax (954) 262-1172
Fax(954) 779-1770
Organization SubpartYes
Authorized OfficialJulissa LazalaDirector Of Revenue Cycle · (954) 262-4946
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1891833661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1111 W BROWARD BLVD, Ft Lauderdale, FL 33312

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

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

262

Medicare enrollment records show 262 clinicians reassign Medicare billing to Nova Southeastern University, Inc, which bills Medicare for the services they deliver. Of these, 172 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Optometry118
Family Practice30
Internal Medicine15
Physical Therapist in Private Practice13
Qualified Speech Language Pathologist11
Pediatric Medicine10
Qualified Audiologist9
Nurse Practitioner6
24 other specialties50

Nearest to this location (20)

See all 262
Optometry
NPI 1679673313
1111 W BROWARD BLVD
Fort Lauderdale, FL 33312
(954) 525-1351
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1356438675
1625 SE 3RD AVE SUITE 400
Fort Lauderdale, FL 33316
(954) 832-0055
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1366852931
1625 SE 3RD AVE SUITE 601
Fort Lauderdale, FL 33316
(954) 847-4273
✔ PECOS✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1417497280
1600 S ANDREWS AVE
Ft Lauderdale, FL 33316
(954) 355-5810
✔ PECOS1.8 mi
Pediatric Medicine
NPI 1861970055
1600 S ANDREWS AVE
Fort Lauderdale, FL 33316
(954) 355-5810
✔ PECOS1.8 mi
Maxillofacial Surgery
NPI 1649306622
2000 S ANDREWS AVE
Fort Lauderdale, FL 33316
(954) 356-9956
✔ PECOS2.1 mi
Osteopathic Manipulative Medicine
NPI 1740265529
1201 NE 26TH ST STE 109
Wilton Manors, FL 33305
(954) 381-7334
✔ PECOS3.0 mi
Occupational Therapist in Private Practice
NPI 1528029824
4568 NW 17TH AVENUE
Tamarac, FL 33309
(954) 772-2468
4.2 mi
Obstetrics/Gynecology
NPI 1780775726
5975 W SUNRISE BLVD # 105
Plantation, FL 33313
(954) 791-4311
✔ PECOS✔ Accepts Medicare4.6 mi
Obstetrics/Gynecology
NPI 1235134917
5975 W. SUNRISE BLVD. SUITE 105
Sunrise, FL 33313
(954) 791-4311
✔ PECOS✔ Accepts Medicare4.6 mi
Qualified Speech Language Pathologist
NPI 1235483124
7595 SW 33RD ST
Davie, FL 33314
(954) 262-8963
✔ Accepts Medicare4.9 mi
Occupational Therapist in Private Practice
NPI 1528798071
7595 SW 33RD ST
Davie, FL 33314
(800) 541-6682
✔ Accepts Medicare4.9 mi
Internal Medicine
NPI 1740579945
4701 N FEDERAL HWY STE A21
Fort Lauderdale, FL 33308
(954) 771-0611
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1437448867
4701 N FEDERAL HWY STE A21
Ft Lauderdale, FL 33308
(954) 771-0611
✔ PECOS✔ Accepts Medicare5.0 mi
Neurosurgery
NPI 1982667994
4725 N FEDERAL HWY SUITE 504
Fort Lauderdale, FL 33308
(954) 414-9750
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1780698902
5601 N DIXIE HWY SUITE 412
Oakland Park, FL 33334
(954) 491-2140
✔ PECOS✔ Accepts Medicare5.3 mi
Qualified Speech Language Pathologist
NPI 1699935767
447 NW 73RD AVE
Plantation, FL 33317
(954) 583-7383
5.5 mi
Nurse Practitioner
NPI 1417292509
3321 COLLEGE AVE # 405
Davie, FL 33314
(954) 262-2850
✔ PECOS✔ Accepts Medicare5.8 mi
Preventive Medicine
NPI 1801257183
5961 N FALLS CIRCLE DR APT 401
Lauderhill, FL 33319
(352) 615-2950
✔ PECOS✔ Accepts Medicare5.9 mi
Sports Medicine
NPI 1629398441
3301 COLLEGE AVE RM 1433
Davie, FL 33314
(954) 262-5590
✔ PECOS6.0 mi
See all 262 clinicians

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 Nova Southeastern University, Inc's NPI number?

The NPI number for Nova Southeastern University, Inc is 1891833661. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Nova Southeastern University, Inc located?

Nova Southeastern University, Inc is located at 1111 W Broward Blvd, Ft Lauderdale, FL 33312. The listed phone number is (954) 525-1351.

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, 172 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 Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, 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 26, 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.