Jocelyn Dorfils, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5041 Issued in FL

Practice address

4135 Dr Martin Luther King Blvd
Fort Myers, FL 33916-4809

Phone

(239) 313-5259

Fax

(239) 672-4368

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1598373219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164809",
            "telephone_number": "239-313-5259",
            "fax_number": "239-672-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164809",
            "telephone_number": "239-313-5259",
            "fax_number": "239-672-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFILS",
        "first_name": "JOCELYN",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "84-4973677",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittanee Donovan, PA-C
• Rachel Bass Donovan, D.M.D
• Ryan Joseph Donovan, D.M.D.
• Andy Dorcely, MSOTR/L
• Islande Dorcin, LCSW
• Dorlus Healthcare Consulting LLC
• Tiffany Dorman, BCBA
• Joseph Vanel Dormena
• Jacqueline Taylor Dorsch
• Kalani Dorsey

• Optician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.