Jennifer Elaine Lage-Salty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3909 Issued in FL

Practice address

17120 Royal Palm Blvd
Suite 2
Weston, FL 33326

Phone

(954) 384-1127

Fax

(954) 384-7105

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Elaine Lage Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO
• FL HMO C-SNP
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• FL HMO D-SNP
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Unlimited of Weston LLC

  • Optometrist
  • Weston, FL
  • NPI 1538812003
  Medicare reassignment NPD Authorized official
• Vision Unlimited Eye Consultants PA

  • Ophthalmology Physician
  • Weston, FL
  • NPI 1003187568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1003943242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 ROYAL PALM BLVD",
            "address_2": "SUITE 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-384-1127",
            "fax_number": "954-384-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17120 ROYAL PALM BLVD",
            "address_2": "SUITE 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-384-1127",
            "fax_number": "954-384-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGE-SALTY",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621087200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAGE",
            "middle_name": "ELAINE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Margarth Lafrance Nicolas
• Gabriela D Laguado
• Noemi D Lairet, APRN
• Lakes Plaza Dental Associates, PA
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• Andreina Lander, DPT

• Optometrist in Weston, FL
• Providers in Weston, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.