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Deactivated NPI 1245325133 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell J Marder , OD

Optometrist • Coconut Creek, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell Marder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date December 04, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Marder, OD was a registered Optometrist practicing in Coconut Creek, FL. Throughout an active medical career spanning 19 years, Dr. Marder provided care at the practice location at 4923 COCONUT CREEK PKWY until profile deactivation on 2025-12-04.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4923 Coconut Creek Pkwy

Coconut Creek, FL 33063

Telephone 9549704266
Fax 9549750416
Associated Practice Facility / Clinic
🏢 Mitchell J Marder P.a. Facility NPI 1235491820

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Coconut Creek, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Coconut Creek, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
13 13 $85.00 $83.64

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 1674

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Robert Goldsmith

Technician/Technologist - Optician

NPI 1336294115

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2025

Record deactivated on December 04, 2025

NPI Profile Active October 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2011

Registered at 4923 COCONUT CREEK PKWY, COCONUT CREEK, FL 33063 (Tel: 9549704266)

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Updated Business Mailing Address October 20, 2011

Registered at 11368 ISLAND LKS LN, BOCA RATON, FL 334986805 (Tel: 5614518115)

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Provider Name / Credentials Updated October 20, 2011

Recorded as MITCHELL MARDER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2011

Optometrist (License #1674 in FL)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245325133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: October 20, 2011
Deactivation Date: December 04, 2025

Mailing Address

11368 Island Lks Ln

Boca Raton, FL 334986805

Phone: 5614518115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.