Jackie Estreicher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4333 Issued in FL

Practice address

2019A Hollywood Blvd
Hollywood, FL 33020-4509

Phone

(954) 922-5210

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jackie Kornbluth Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Margaret a. Shirk O.D. & Associates Inc.

  • Optometrist
  • Elverson, PA
  • NPI 1730359837
  NPD (past)
• The Elder Eye Care Group, Inc

  • Optometrist
  • Phoenixville, PA
  • NPI 1265469654
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1598098477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019A HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204509",
            "telephone_number": "954-922-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019A HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204509",
            "telephone_number": "954-922-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTREICHER",
        "first_name": "JACKIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007341",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4333",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "KORNBLUTH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Doris Liliam Espinoza, OT
• Melissa Auxiliadora Espinoza
• Stephanie Esquivel
• Essence of Life Health LLC
• Amna-Marie Mohammad Estrada, APRN
• Eternity Physical Therapeutics
• Osner Myrtel Etienne, APRN, PMHNP-BC
• Chelsea Eugene, RBT
• Shawnny Rosly Eugene, PHARMD
• Charlotte Evans, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.