Individual provider Active NPI

Jordan Miles Kay, O.D.

  • Corneal and Contact Management Optometrist
  • Fort Myers, FL
National Provider Identifier
1013082494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1757 Issued in FL
Practice address
4125 Cleveland Ave
Suite #113
Fort Myers, FL 33901-9046
Phone
(239) 939-5393
Fax
(239) 275-3780
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1757 FL Primary

Addresses

Primary practice location

4125 Cleveland Ave
Suite #113
Fort Myers, FL 33901-9046

Mailing address

5621 Coach House Cir
Suite B
Boca Raton, FL 33486-8686
Phone (561) 362-9849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1757FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013082494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 COACH HOUSE CIR",
            "address_2": "SUITE B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868686",
            "telephone_number": "561-362-9849",
            "fax_number": "239-275-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 CLEVELAND AVE",
            "address_2": "SUITE #113",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019046",
            "telephone_number": "239-939-5393",
            "fax_number": "239-275-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "JORDAN",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.