1162 MILITARY TRAIL LLC — NPI 1538417720 (Licensed & Credentialed Optometrist, Corneal and Contact Management in WEST PALM BEACH, FL)

Plain-English Taxonomy Translation (152WC0802X)

What Does Taxonomy Code 152WC0802X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152WC0802X translates in plain language to:
"Licensed & Credentialed Optometrist, Corneal and Contact Management"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Optometrist, Corneal and Contact Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 1162 MILITARY TRAIL LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1538417720 (NPI-2 Organization / Facility)
Provider / Legal Name	1162 MILITARY TRAIL LLC
Plain-English Specialty	Licensed & Credentialed Optometrist, Corneal and Contact Management NUCC Code: `152WC0802X` (Optometrist, Corneal and Contact Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1616 S MILITARY TRL, WEST PALM BEACH, FL, 334155612
Practice Telephone / Fax	Tel: 561-968-1234 \| Fax: 561-967-9178
Administrative Mailing Address	8076 W SAHARA AVE, LAS VEGAS, NV, 891177930
Enumeration & Last Sync	Enumerated: 2012-08-21 \| Updated: 2012-08-21
Authorized Official	GALEN GRAYSON (Owner/Medical Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1616 S MILITARY TRL, WEST PALM BEACH, FL, 334155612

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Optometrist	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`207W00000X` — Ophthalmology Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`152WC0802X` — Optometrist, Corneal and Contact Management Plain English: Licensed & Credentialed Optometrist, Corneal and Contact Management	State: N/A \| License: Verified \| Primary Taxonomy: Yes

1162 MILITARY TRAIL LLC (NPI #1538417720)