Active NPI
Jaime a. Balaguer, Jr., O.D., PA
- Optometrist
- Pembroke Pines, FL
National Provider Identifier
1013245331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3869
- Legal business name
- JAIME A. BALAGUER, JR., O.D., PA
- Practice address
- 1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967 - Phone
- (954) 433-1490
- Fax
- (954) 433-0994
- NPI assigned
- Nov 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaime A. Balaguer Jr., O.D.
- Title
- Optometrist
- Phone
- (954) 433-1490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3869 | FL | Primary |
Addresses
Primary practice location
1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967
Mailing address
1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967
Phone (954) 433-1490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621290500 | Medicaid | FL |
Other names 1
- Flamingo Falls Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pembroke Pines, FL
- NPI 1144342189
-
- Optometrist
- Milton, FL
- NPI 1821084179
-
- Optometrist
- The Villages, FL
- NPI 1124351937
-
- Optometrist
- Pembroke Pines, FL
- NPI 1124947049
-
- Optometrist
- Pembroke Pines, FL
- NPI 1104811736
-
- Optometrist
- Houston, TX
- NPI 1114331691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1013245331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 NW 122ND TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330261967",
"telephone_number": "954-433-1490",
"fax_number": "954-433-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 NW 122ND TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330261967",
"telephone_number": "954-433-1490",
"fax_number": "954-433-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAIME A. BALAGUER, JR., O.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-24",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "BALAGUER",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "954-433-1490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621290500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Flamingo Falls Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.