Anne Marie Menjivar, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

OPC 4393 Issued in FL

Practice address

1500 SE Magnolia Ext
Suite 101
Ocala, FL 34471-4463

Phone

(352) 622-5183

Fax

(352) 622-2720

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ocala Eye Optical, Inc.

  • Eyewear Supplier
  • Ocala, FL
  • NPI 1912936568
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1154581205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714463",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJIVAR",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC 4393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001244700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jassica Andrea Mendum, RPH, CPH
• Darren Menendez, PA-C
• Alexandra Meneses
• Gail Menezes, APRN
• Sarah Ann Menias, DDS
• Juan Adalberto Menjivar, O.D.
• Jennifer Menke, PT, DPT
• David Menor
• Mental Health Services and Recovery LLC
• Sarabel Mercado Torres, CRNA

• Low Vision Rehabilitation Optometrist in Ocala, FL
• Providers in Ocala, FL by specialty
• Low Vision Rehabilitation Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.