Landsaw O D P a

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LANDSAW O D P A

Doing business as

Landsaw Eyecare

Practice address

91284 Overseas Hwy
Tavernier, FL 33070-2555

Phone

(305) 853-3153

Fax

(305) 853-3152

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jannah Miller Landsaw, O.D.NPI 1568512911

Title

President

Phone

(305) 853-3153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Landsaw Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jannah Miller Landsaw, O.D.

  • Optometrist
  • Tavernier, FL
  • NPI 1568512911
  Medicare reassignment NPD Authorized official
• Harry Wirick Landsaw, O.D.

  • Optometrist
  • Tavernier, FL
  • NPI 1306996756
  Medicare reassignment NPD
• Debra Lynn McIntyre, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1295810349
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1427254978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91284 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702555",
            "telephone_number": "305-853-3153",
            "fax_number": "305-853-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91284 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702555",
            "telephone_number": "305-853-3153",
            "fax_number": "305-853-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDSAW O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "LANDSAW",
        "authorized_official_first_name": "JANNAH",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-853-3153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620730800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landsaw Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mathew Koshy Kandathil, MD
• Angela Faye Kemmer, LCSW
• Keys Physical Therapy (KeysPT)
• Keys Physician Services PA
• Michelle Ann Lago
• Harry Wirick Landsaw, O.D.
• Jannah Miller Landsaw, O.D.
• Juergen Lang, MD
• Judith Rhodes Langford, PT
• Las Marias Medical Center LLC

• Optometrist in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.