Active NPI
Jacqueline Jaquinto Dimartino, OPTICIAN
- Optician
- Asheville, NC
National Provider Identifier
1265651657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 975
- Practice address
- 153 Smokey Park Hwy
Asheville, NC 28806-1166 - Phone
- (828) 667-3211
- Fax
- (828) 670-1120
- NPI assigned
- Apr 24, 2007
- Last updated
- Sep 15, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 975 | NC | Primary |
Addresses
Primary practice location
153 Smokey Park Hwy
Asheville, NC 28806-1166
Mailing address
153 Smokey Park Hwy
Asheville, NC 28806-1167
Phone (828) 667-3211
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 |
|---|---|---|---|
| 975 | NC | MD | Physical Therapy Assistant |
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": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1265651657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 SMOKEY PARK HWY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288061167",
"telephone_number": "828-667-3211",
"fax_number": "828-670-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 SMOKEY PARK HWY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288061166",
"telephone_number": "828-667-3211",
"fax_number": "828-670-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARTINO",
"first_name": "JACQUELINE",
"middle_name": "JAQUINTO",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.