OrganizationActive
Nova Southeastern University, Inc
NPI 1639028418 · Optometrist · Fort Lauderdale, FL
Nova Southeastern University, Inc is a Optometrist organization in Fort Lauderdale, FL (NPI 1639028418).
Provider details
- NPI number
- 1639028418
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Nova Souhteastern University, Inc
- Organization subpart
- Yes
- Authorized official
- John Xanthos, Executive Director of Finance(954) 262-4823
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone: (954) 262-4200
Fax: (954) 262-2269
Street-level locationGet directions
Mailing address
Po Box 290370
Fort Lauderdale, FL 33329-0370
Registry dates
- Enumerated
- 2026-01-26
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Nova Southeastern University, Inc's NPI number?
- Nova Southeastern University, Inc's National Provider Identifier (NPI) is 1639028418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nova Southeastern University, Inc?
- Nova Southeastern University, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Nova Southeastern University, Inc located?
- Nova Southeastern University, Inc's practice location on file with NPPES is 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312-1420.
- What is Nova Southeastern University, Inc's phone number?
- The practice phone number listed in the NPPES registry for Nova Southeastern University, Inc is (954) 262-4200.
- Who is the authorized official for Nova Southeastern University, Inc?
- The authorized official listed on Nova Southeastern University, Inc's NPPES record is John Xanthos, Executive Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nova Southeastern University, Inc's NPI active?
- Yes — Nova Southeastern University, Inc's NPI (1639028418) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.