NPIMap

Organization Active NPI

Jennifer Bauza, OD PA

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1134443997
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4423 Issued in FL
Legal business name
JENNIFER BAUZA, OD PA
Practice address
5231 W 25TH CT
Hialeah, FL 33016-4072
Phone
(786) 333-3338
NPI assigned
Mar 23, 2010
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Jennifer Bauza, O.D.NPI 1710211412
Title
President
Phone
(786) 333-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4423 FL Primary

Addresses

Primary practice location

5231 W 25TH CT
Hialeah, FL 33016-4072

Mailing address

5231 W 25TH CT
Hialeah, FL 33016-4072
Phone (786) 333-3338

National Provider Directory

National Provider Directory

Locations

9638 Sunset Dr
Miami, FL 33173
Phone (305) 412-4840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1134443997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 W 25TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164072",
            "telephone_number": "786-333-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 W 25TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164072",
            "telephone_number": "786-333-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BAUZA, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "BAUZA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-333-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.