Organization Active NPI

Joannette Salas OD and Associates PA

  • Optometrist
  • Orlando, FL
National Provider Identifier
1376297861
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOANNETTE SALAS OD AND ASSOCIATES PA
Practice address
1311 E Michigan St
Orlando, FL 32806-4814
Phone
(407) 843-3533
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Mrs. Randi Woerner
Title
Professional Relations Manager
Phone
(856) 228-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1311 E Michigan St
Orlando, FL 32806-4814

Mailing address

1 Harmon Dr
Blackwood, NJ 08012-5103
Phone (856) 228-1000

Other identifiers 1

IdentifierTypeStateIssuer
OPC3633OtherFLOPTOMETRIST LICENSE

National Provider Directory

National Provider Directory

Locations

1311 E Michigan St
Orlando, FL 32806
Phone (407) 634-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1376297861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125103",
            "telephone_number": "856-228-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064814",
            "telephone_number": "407-843-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNETTE SALAS OD AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WOERNER",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "PROFESSIONAL RELATIONS MANAGER",
        "authorized_official_telephone_number": "856-228-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "OPC3633",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.