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General NPI Number Information
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NPI Number | 1306108816
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Entity Type | Organization
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Legal Business Name | ESTERMAN EYE INSTITUTE, INC.
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 15340 S JOG RD STE 210
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2170
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Country | US
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Telephone | 561-279-7799
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Fax | 561-279-7705
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Provider Business Mailing Address
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Address Line | 15340 S JOG RD STE 210
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2170
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Country | US
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Telephone | 561-279-7799
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Fax | 561-279-7705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRADLEY ESTERMAN
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Credential | MD
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Telephone | 561-279-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME0071722
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License Number State | FL
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