Individual provider Active NPI

Alfredo Janson, OD

  • Optometrist
  • Miami Lakes, FL
National Provider Identifier
1265136642
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6226 Issued in FL
Practice address
14521 NW 87TH CT
Miami Lakes, FL 33018-8016
Phone
(305) 479-4521
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6226 FL Primary

Addresses

Primary practice location

14521 NW 87TH CT
Miami Lakes, FL 33018-8016

Mailing address

14521 NW 87TH CT
Miami Lakes, FL 33018-8016
Phone (305) 479-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027002400 PA Practitioner - Optometry 9931555869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6226FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 4, 2023 Accepting new patients
Visionworks, Inc CurrentSince Dec 4, 2023 Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Interoperability endpoints

  • Direct secure messaging: 117655@visionworks.emadirect.md

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1265136642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14521 NW 87TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188016",
            "telephone_number": "305-479-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 NW 87TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188016",
            "telephone_number": "305-479-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSON",
        "first_name": "ALFREDO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.