Active NPI
Aliasghar Meheboob Jagani, O.D.
- Optometrist
- Orlando, FL
National Provider Identifier
1023413143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 5015
- Practice address
- 4829 New Broad St
Orlando, FL 32814-6629 - Phone
- (407) 979-4829
- Fax
- (407) 369-4250
- NPI assigned
- Oct 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 5015 | FL | Primary |
Addresses
Primary practice location
4829 New Broad St
Orlando, FL 32814-6629
Mailing address
4829 New Broad St
Orlando, FL 32814-6629
Phone (407) 979-4829
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 5015 | FL | MD | Optometrist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1023413143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 NEW BROAD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146629",
"telephone_number": "407-979-4829",
"fax_number": "407-369-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4829 NEW BROAD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146629",
"telephone_number": "407-979-4829",
"fax_number": "407-369-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGANI",
"first_name": "ALIASGHAR",
"middle_name": "MEHEBOOB",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-31",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 5015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.