Jason Edward Iannarelli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3902 Issued in FL

Practice address

1400 Hand Avenue
Unit N
Ormond Beach, FL 32174

Phone

(386) 872-3111

Fax

(386) 872-3190

NPI assigned

Jun 2, 2006

Last updated

Mar 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Jason Iannarelli PAGroup PAC ID 7113189358, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Jason Iannarelli P.a.

  dba Dr. Eye

  • Optometrist
  • Ormond Beach, FL
  • NPI 1083972640
  Medicare reassignment Care Compare group NPD Authorized official
• Donald G. Purcell, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Daytona Beach, FL
  • NPI 1932439395
  NPD (past)
• Professional Eyecare Consultants PA

  • Optometrist
  • Miramar, FL
  • NPI 1609820828
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1073551206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVENUE",
            "address_2": "UNIT N",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-872-3111",
            "fax_number": "386-872-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVENUE",
            "address_2": "UNIT N",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-872-3111",
            "fax_number": "386-872-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNARELLI",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hurley, PSY.D.
• Chelsea Jade Hutchinson, NP
• Lindsey Hutchinson, OD, MS
• Laura Hutson, PTA
• Ruth Ann Hyatt, O.D.
• Jennifer Myles Iannarelli, O.D.
• Amy Deborah Iannitelli, LMHC
• Therese A Ibrahim, MD
• Independent Surgical Assist Inc
• Infectious Diseases of Mid-Florida, PA

• Optometrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.