Active NPI
Ivonne Jeannette Vega, B.S.
- Optician
- Weston, FL
National Provider Identifier
1275512873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4055
- Practice address
- 4577 Weston Rd
Weston, FL 33331-3141 - Phone
- (954) 217-5070
- Fax
- (954) 217-5080
- NPI assigned
- Jan 11, 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4055 | FL | Primary |
Addresses
Primary practice location
4577 Weston Rd
Weston, FL 33331-3141
Mailing address
5717 NW 64TH Way
Tamarac, FL 33321-5734
Phone (954) 726-9670
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4055 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275512873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 NW 64TH WAY",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333215734",
"telephone_number": "954-726-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4577 WESTON RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313141",
"telephone_number": "954-217-5070",
"fax_number": "954-217-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "IVONNE",
"middle_name": "JEANNETTE",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.