Active NPI
Alfredo Janson, OD
- Optometrist
- Miami Lakes, FL
National Provider Identifier
1265136642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6226
- Practice address
- 14521 NW 87TH CT
Miami Lakes, FL 33018-8016 - Phone
- (305) 479-4521
- NPI assigned
- Mar 29, 2023
- Last updated
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6226 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | 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
- 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, 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.