Active NPI
Juan Adalberto Menjivar, O.D.
- Optometrist
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4315
- Practice address
- 150 SE 17TH St Ste 100
Ocala, FL 34471 - Phone
- (352) 732-7900
- Fax
- (352) 732-7466
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4315 | FL | Primary |
Addresses
Primary practice location
150 SE 17TH St Ste 100
Ocala, FL 34471
Mailing address
150 SE 17TH St Ste 100
Ocala, FL 34471-5177
Phone (352) 732-7900
Other practice location 1
1950 Laurel Manor Dr
Suite 250
The Villages, FL 32162-5603
Phone (352) 622-5183
Other practice location 2
1950 Laurel Manor Dr
Suite 250
The Villages, FL 32162-5603
Phone (352) 622-5183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1906L | Other | FL | BCBS FL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 SE 17TH St
Suite 100
Ocala, FL 34471-5177
Phone (352) 732-7900
150 SE 17TH St
Suite 100
Ocala, FL 34471-5188
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4315 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Ritz & Johnson & Assoc. LLP | Optometrist | Current | Accepting new patients |
| Cards Opticians Inc | Past | Accepting new patients | |
| Ocala Eye Optical, Inc. | Past | Accepting new patients |
Locations
150 SE 17th St
Ste 100
Ocala, FL 34471
Phone (352) 732-7900
Organizations & group practices 3
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.
-
- Optometrist
- Ocala, FL
- NPI 1437263225
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1134301393
-
- Eyewear Supplier
- Ocala, FL
- NPI 1912936568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1609025493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SE 17TH ST STE 100",
"city": "OCALA",
"state": "FL",
"postal_code": "344715177",
"telephone_number": "352-732-7900",
"fax_number": "352-732-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SE 17TH ST STE 100",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-732-7900",
"fax_number": "352-732-7466"
}
],
"practiceLocations": [
{
"address_1": "1950 Laurel Manor Dr",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321625603",
"country_code": "US",
"telephone_number": "352-622-5183",
"fax_number": "352-622-2720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1950 Laurel Manor Dr",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321625603",
"country_code": "US",
"telephone_number": "352-622-5183",
"fax_number": "352-622-2720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENJIVAR",
"first_name": "JUAN",
"middle_name": "ADALBERTO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "1906L",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.