Active NPI
Mary J Ayer, OD
- Optometrist
- Fleming Island, FL
National Provider Identifier
1306811278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2012
- Practice address
- 1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401 - Phone
- (904) 278-1760
- Fax
- (904) 278-1730
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2012 | FL | Primary |
Addresses
Primary practice location
1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Mailing address
1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Phone (904) 278-1760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410027569 | Other | RR MEDICARE | |
| 593252808 | Other | TAX ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Past | Accepting new patients |
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.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1306811278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 BUSINESS CENTER DR STE 4",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034401",
"telephone_number": "904-278-1760",
"fax_number": "904-278-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 BUSINESS CENTER DR STE 4",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034401",
"telephone_number": "904-278-1760",
"fax_number": "904-278-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYER",
"first_name": "MARY",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410027569",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "593252808",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.