Active NPI
Aly-Hussain Jiwa
- Optometrist
- Tampa, FL
National Provider Identifier
1235707167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5919
- Practice address
- 13620 University Plaza St
Tampa, FL 33613-4649 - Phone
- (813) 462-4985
- NPI assigned
- Jun 16, 2021
- Last updated
- Jun 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5919 | FL | Primary |
Addresses
Primary practice location
13620 University Plaza St
Tampa, FL 33613-4649
Mailing address
1325 Bay Harbor Dr Apt 104
Palm Harbor, FL 34685-3410
Phone (781) 535-3185
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 |
|---|---|---|---|
| 5919 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
13620 University Plaza St
Tampa, FL 33613
Phone (813) 462-4985
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1235707167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 BAY HARBOR DR APT 104",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853410",
"telephone_number": "781-535-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 UNIVERSITY PLAZA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134649",
"telephone_number": "813-462-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIWA",
"first_name": "ALY-HUSSAIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "5919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.