Angelica Jones, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5892 Issued in FL

Practice address

778 Beal Pkwy NW
Fort Walton Beach, FL 32547-3042

Phone

(850) 586-7888

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Angelica Shanta McIntyre Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, IN, AL, MI, NY5 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 5

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (29 of 30)

Locations (25 of 34)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: angelica.jones.1@12125.direct.athenahealth.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.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246

  FL, Optometrist

  Medicare reassignment NPD
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660

  FL

  Medicare reassignment NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771

  FL, Optometrist

  Medicare reassignment NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882

  FL, Optometrist

  Medicare reassignment NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725

  FL, Optometrist

  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409

  FL

  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028

  FL, Optometrist

  Medicare reassignment NPD
• South Florida Vision Services, Inc.

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566

  FL, Optometrist

  Medicare reassignment NPD
• Southeast Eye Institute, PA

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1073625331

  FL, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551

  AL, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424

  IN, Optometrist

  Medicare reassignment NPD
• Visionworks, Inc

  • Optometrist
  • Rochester Hills, MI
  • NPI 1366822991

  MI, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1104418490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 HERMOSA RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396734",
            "telephone_number": "601-818-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473042",
            "telephone_number": "850-586-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELICA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5892",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SE68TAC09",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "778 Beal Pkwy NW",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325473042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "MCINTYRE",
            "middle_name": "SHANTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald F Johnson, MD
• Shaelyn La'Brea Johnson
• Traci Johnson, PTA
• Emmalyn Claire Johnston
• Katrina Jones-Lewis
• Claire Jones
• Jalen Jamar Jones
• Jeffrey Jones
• Michael Cody Jones
• Sara Elaine Jones

• All providers in Fort Walton Beach, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.