Individual provider Active NPI

Jane Mireille Therrien, O.D.

  • Optometrist
  • Davie, FL
National Provider Identifier
1306858030
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3405 Issued in FL
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

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000571 FL Practitioner - Optometry 1052326659 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OPC3405FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jane M Therrien O.D. , P.a Optometrist CurrentSince Jan 10, 2006 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

Verify at the official NPI Registry.