Individual provider Active NPI

Monica Vieth, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1356908115
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5642 Issued in FL
Practice address
7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294
Phone
(904) 781-7717
Fax
(904) 781-6367
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5642 FL Primary

Addresses

Primary practice location

7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other names 1

  • Dr. Monica Vieth Munoz Former name

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
I20190806002708 FL Practitioner - Optometry 0547597023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joanne F. Reed, OD,PAGroup PAC ID 0648439406, 3 clinicians

Practice addresses (Care Compare)

124 Tuscan Way
Suite 104
St Augustine, FL 32092-1851
Phone (904) 547-2691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5642FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne F. Reed, OD, PLLC Optometrist CurrentSince Dec 30, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 28, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jun 28, 2019 Accepting new patients

Locations

7077 Normandy Blvd
Ste 7
Jacksonville, FL 32205
Phone (904) 781-7717

953 Lane Ave S
Jacksonville, FL 32205
Phone (904) 695-4447

124 Tuscan Way
Ste 104
St Augustine, FL 32092
Phone (904) 547-2691

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1356908115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 NORMANDY BLVD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056294",
            "telephone_number": "904-781-7717",
            "fax_number": "904-781-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETH",
        "first_name": "MONICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "VIETH MUNOZ",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.