Organization Active NPI

Jaffe Eye Institute PA

  • Specialist
  • Aventura, FL
National Provider Identifier
1558466987
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME38393 Issued in FL
Legal business name
JAFFE EYE INSTITUTE PA
Practice address
2801 NE 213TH St Ste 1006
Aventura, FL 33180-1266
Phone
(305) 945-7433
Fax
(305) 933-0895
NPI assigned
Sep 13, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Mrs. Lacendra Morrison
Title
Billing Manager
Phone
(305) 653-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME38393 FL Primary

Addresses

Primary practice location

2801 NE 213TH St Ste 1006
Aventura, FL 33180-1266

Mailing address

2801 NE 213TH St Ste 1006
Aventura, FL 33180-1266
Phone (305) 945-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000475 FL Part B Supplier - Clinic/Group Practice 2860548872 Receives reassigned benefits from 5 practitioners
Practice locations: Aventura, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

1150 NW 14th St
Ste 105
Miami, FL 33136

18999 Biscayne Blvd
Miami, FL 33180
Phone (305) 932-3380

1950 NE 6th St
Unit 10655
Pompano Beach, FL 33061

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1558466987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1006",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801266",
            "telephone_number": "305-945-7433",
            "fax_number": "305-933-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1006",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801266",
            "telephone_number": "305-945-7433",
            "fax_number": "305-933-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFE EYE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "LACENDRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "305-653-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME38393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.