Active NPI
Jose A Conesa, D.O.
- Optician
- Miami, FL
National Provider Identifier
1053705558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO2224
- Practice address
- 9646 SW 24TH St
Miami, FL 33165-8015 - Phone
- (305) 846-9158
- Fax
- (305) 846-9284
- NPI assigned
- Mar 23, 2015
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO2224 | FL | Primary |
Addresses
Primary practice location
9646 SW 24TH St
Miami, FL 33165-8015
Mailing address
9646 SW 24TH St
Miami, FL 33165-8015
Phone (305) 846-9158
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2224 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1053705558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9646 SW 24TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331658015",
"telephone_number": "305-846-9158",
"fax_number": "305-846-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9646 SW 24TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331658015",
"telephone_number": "305-846-9158",
"fax_number": "305-846-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONESA",
"first_name": "JOSE",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO2224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.