Provider Demographics
NPI:1831301589
Name:SALOMON, JOYCE (OD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:SALOMON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 CLUB CIR
Mailing Address - Street 2:103
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3768
Mailing Address - Country:US
Mailing Address - Phone:954-695-0011
Mailing Address - Fax:
Practice Address - Street 1:6000 GLADES RD
Practice Address - Street 2:1116
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7208
Practice Address - Country:US
Practice Address - Phone:561-394-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 1777152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT93894Medicare UPIN
FL19905Medicare ID - Type Unspecified