Jacqueline Eliza Zermeno, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4604 Issued in FL

Practice address

3200 N Wickham Rd
Ste 1
Melbourne, FL 32935-2321

Phone

(321) 253-3550

Fax

(321) 253-3591

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Eye Specialists, PAGroup PAC ID 3577791243, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network
• FL PPO

Interoperability endpoints

• Direct secure messaging: jacqueline.zermeno.p1@direct.caremax.nextgenshare.com

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.

• Orlando Eye Specialists, PA

  • Glaucoma Specialist (Ophthalmology) Physician
  • Orlando, FL
  • NPI 1477981975
  Medicare reassignment Care Compare group NPD
• Brevard Optometry Associates

  dba Brevard Vision Care

  • Optometrist
  • Melbourne, FL
  • NPI 1710057054
  Medicare reassignment NPD
• Care Optical, LLC

  • Optometrist
  • Miami, FL
  • NPI 1447627716
  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• Hendrixs Eye Care, Inc.

  • Optometrist
  • Titusville, FL
  • NPI 1528424439
  Medicare reassignment NPD
• William D. Tanke, OD, PA

  • Optometrist
  • West Melbourne, FL
  • NPI 1306133285
  Medicare reassignment NPD
• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Jacqueline E. Zermeno O.D., P.a.

  • Optometrist
  • Titusville, FL
  • NPI 1194110403
  NPD (past) Authorized official
• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  NPD
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1023324795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 S WICKHAM RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041460",
            "telephone_number": "321-253-3550",
            "fax_number": "321-253-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N WICKHAM RD",
            "address_2": "STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352321",
            "telephone_number": "321-253-3550",
            "fax_number": "321-253-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERMENO",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56653400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Zavitsanos, M.D.
• Lizmarie Zayas
• Aubrey Zazula
• Zenith 24, LLC (Vital Care of Melbourne)
• Scott Zenoni, M.D.
• Chunxia Zhang
• Nina Zhang
• Yuanyuan Zhao
• Laura Katherine Ziburske, PHARMD
• Casey Daniel Ziegler, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.