# PAMELA EBMEIER MONTMENY O D P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659680759
- **Authorized official:** MS. PAMELA EBMEIER O.D. (OWNER)
- **Authorized official phone:** (954) 563-2211

## Contact information

- **Practice address:** 2641 E OAKLAND PARK BLVD, SUITE 3, FT LAUDERDALE, FL 33306-1665
- **Practice address phone:** (954) 563-3211
- **Practice address fax:** (954) 563-3919
- **Mailing address:** 2641 E OAKLAND PARK BLVD, SUITE 3, FT LAUDERDALE, FL 33306-1665
- **Mailing address phone:** (954) 563-3211
- **Mailing address fax:** (954) 563-3919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2585 | FL | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 02/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3920370001 | DME | FL |
| 05 | — | 620082600 | — | FL |
| 01 | — | FP779A | MEDICARE ID | FL |