Active NPI
Teresa Jumet-Esteva, LDO
- Optician
- Miami Lakes, FL
National Provider Identifier
1104843994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO1491
- Practice address
- 15600 NW 67TH Ave
210
Miami Lakes, FL 33014-2174 - Phone
- (305) 825-2020
- Fax
- (305) 556-0557
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- 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 | DO1491 | FL | Primary |
Addresses
Primary practice location
15600 NW 67TH Ave
210
Miami Lakes, FL 33014-2174
Mailing address
15600 NW 67TH Ave
210
Miami Lakes, FL 33014-2174
Phone (305) 825-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086853100 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1491 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Lakes Eye Care Center PA | Optician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1104843994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"address_2": "210",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "305-825-2020",
"fax_number": "305-556-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"address_2": "210",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "305-825-2020",
"fax_number": "305-556-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMET-ESTEVA",
"first_name": "TERESA",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO1491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086853100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.