Andreanos Jordanopoulos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL2531 Issued in FL

Practice address

1573 South Wickham Road
West Melbourne, FL 32904-3540

Phone

(321) 723-8115

Fax

(321) 723-7388

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andreanos Jordanopoulos OD Inc

  • Optometrist
  • West Melbourne, FL
  • NPI 1104911098
  Medicare reassignment NPD Authorized official
• Simply See LLC

  • Optometrist
  • Melbourne, FL
  • NPI 1386241297
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1265613186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 SOUTH WICKHAM ROAD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "321-723-8115",
            "fax_number": "321-723-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 SOUTH WICKHAM ROAD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "321-723-8115",
            "fax_number": "321-723-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDANOPOULOS",
        "first_name": "ANDREANOS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Sterner
• Meagan Jimenez
• John Tice Inc.
• Molly Kathryn Johnson, M.A. SLP
• Austin David Jones, DC
• Joseph W Slattery III MD PA
• Patricia Karnback
• Farrah Kaviratna, RD, LD
• Alexandria Keister
• Robert Kennedy, MD

• Optometrist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.

Verify at the official NPI Registry.