Active NPI
Jane Mireille Therrien, O.D.
- Optometrist
- Davie, FL
National Provider Identifier
1306858030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3405
- Practice address
- 4472 Weston Rd
Davie, FL 33331-3194 - Phone
- (954) 888-9393
- NPI assigned
- Aug 12, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3405 | FL | Primary |
Addresses
Primary practice location
4472 Weston Rd
Davie, FL 33331-3194
Mailing address
4472 Weston Rd
Davie, FL 33331-3194
Phone (954) 888-9393
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4472 Weston Rd
Davie, FL 33331-3194
Phone (954) 888-9393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3405 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane M Therrien O.D. , P.a | Optometrist | Current | Accepting new patients |
Locations
4472 Weston Rd
Davie, FL 33331
Phone (954) 217-5070
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1306858030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4472 WESTON RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313194",
"telephone_number": "954-888-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4472 WESTON RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313194",
"telephone_number": "954-888-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERRIEN",
"first_name": "JANE",
"middle_name": "MIREILLE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.