Individual provider Active NPI

Joanna P Wahl, D.O

  • Ophthalmology Physician
  • South Miami, FL
National Provider Identifier
1558548586
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS11370 Issued in FL
Practice address
5858 SW 68TH St
South Miami, FL 33143-3693
Phone
(305) 357-1711
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 510101017234 MI
Ophthalmology Physician 207W00000X OS11370 FL Primary

Addresses

Primary practice location

5858 SW 68TH St
South Miami, FL 33143-3693

Mailing address

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000398 FL Practitioner - Ophthalmology 0345412250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A James Segal MD PA MedeyeassociatesGroup PAC ID 6901889542, 7 clinicians

Practice addresses (Care Compare)

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

8250 NW 27TH St
Unit 311
Doral, FL 33122-1904
Phone (305) 661-8588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11370FLMDOphthalmology Physician
510101017234MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates Ophthalmology CurrentSince Jan 15, 2015 Accepting new patients
Inna Ozerov MD PA Past Accepting new patients

Locations

8250 NW 27th St
Ste 311
Doral, FL 33122
Phone (305) 238-4901

925 NE 30th Ter
Ste 216
Homestead, FL 33033

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

Organizations & group practices 2

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1558548586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 SW 68TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588",
            "fax_number": "305-661-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SW 68TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-357-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "JOANNA",
        "middle_name": "P",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "510101017234",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS11370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.