Individual provider Active NPI

Jessica M Pitts, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1275883779
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4735 Issued in FL
Practice address
11310 SW 43Rd St
Miami, FL 33165-4625
Phone
(954) 873-3733
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4735 FL Primary

Addresses

Primary practice location

11310 SW 43Rd St
Miami, FL 33165-4625

Mailing address

11310 SW 43Rd St
Miami, FL 33165-4625

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130131000121 FL Practitioner - Optometry 9335393255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4735FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Vision Services, Inc. Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist Past Accepting new patients

Locations

11000 SW 211th St
Cutler Bay, FL 33189
Phone (305) 254-1500

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

11701 Mills Dr
Ste 100
Miami, FL 33183
Phone (305) 270-2755

Networks

  • Freedom Health HMO Network

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1275883779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654625",
            "telephone_number": "954-873-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.