Janet M. Mint, O.D., PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001769 Issued in FL

Legal business name

JANET M. MINT, O.D., PA

Practice address

4131 Southside Blvd
Suite 203
Jacksonville, FL 32216-5478

Phone

(904) 646-9737

Fax

(904) 646-9783

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Janet Marie Mint, O.D,NPI 1902894777

Title

President

Phone

(904) 646-9737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Marie Mint, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1902894777
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1114291952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SOUTHSIDE BLVD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165478",
            "telephone_number": "904-646-9737",
            "fax_number": "904-646-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SOUTHSIDE BLVD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165478",
            "telephone_number": "904-646-9737",
            "fax_number": "904-646-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET M. MINT, O.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "MINT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-646-9737",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078616100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basil Jan
• Meryam Jan, M.D.
• Carlie Janeczko
• Janet a Betchkal MD PA
• Janet D. Constantine PL
• Janet Moulton, Inc.
• Janet Moulton, Inc.
• Janet V Attlesey MD PA
• Janettann Homemaker and Companionship
• Mona Janfaza, MD

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.