Jacqueline E. Zermeno O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4604 Issued in FL

Legal business name

JACQUELINE E. ZERMENO O.D., P.A.

Practice address

3550 S Washington Ave
Titusville, FL 32780-8627

Phone

(321) 268-9239

Fax

(321) 383-0788

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Eliza Zermeno, O.D.NPI 1023324795

Title

Optometrist

Phone

(321) 412-1983

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline E. Zermeno O.D., P.A. Doing business as

Locations

Practitioners 1

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

• Jacqueline Eliza Zermeno, OD

  • Optometrist
  • Melbourne, FL
  • NPI 1023324795
  NPD (past) Authorized official

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1194110403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 HOLLAND ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352826",
            "telephone_number": "321-412-1983",
            "fax_number": "321-383-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808627",
            "telephone_number": "321-268-9239",
            "fax_number": "321-383-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE E. ZERMENO O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "ZERMENO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ELIZA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "321-412-1983",
        "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 4604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacqueline E. Zermeno O.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Itani Family Pharmacy PLC
• Basil Itani, PHARMD
• Nabil S Itani, DO
• Donna G Ivery, MD
• Elizabeth Jacobs
• Jad Family Pharmacy LLC
• James Thomas Nichols Jr MD PA
• Kayla A James, PTA
• Michael Allen James, CPHT, RPHT
• Jan L. Spagnoli DDS PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.