Active NPI
Hajira M Shujaat, O.D.
- Optometrist
- Ocoee, FL
National Provider Identifier
1255398707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4096
- Practice address
- 10000 West Colonial Dr.
Suite 183
Ocoee, FL 34761-3434 - Phone
- (407) 834-7776
- Fax
- (407) 834-0973
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- 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 | OPC 4096 | FL | Primary |
Addresses
Primary practice location
10000 West Colonial Dr.
Suite 183
Ocoee, FL 34761-3434
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4798
Phone (407) 834-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621123200 | Medicaid | FL |
Other names 1
- Hajira Moinuddin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4096 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Eye Clinic P a | Optometrist | Past | Accepting new patients |
| Florida Eye Clinic PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1255398707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014798",
"telephone_number": "407-834-7776",
"fax_number": "407-834-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 WEST COLONIAL DR.",
"address_2": "SUITE 183",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613434",
"telephone_number": "407-834-7776",
"fax_number": "407-834-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUJAAT",
"first_name": "HAJIRA",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621123200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAJIRA",
"last_name": "MOINUDDIN",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.