Anastasia Jobson PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3904 Issued in FL

Legal business name

ANASTASIA JOBSON PA

Practice address

3001 N State Road 7
Lauderdale Lakes, FL 33313-1913

Phone

(954) 497-0846

Fax

(954) 733-2879

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anastasia C Jobson, ODNPI 1659446268

Title

Owner/Officer

Phone

(954) 497-0846

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Anastasia Camille Jobson, O. D.

  • Optometrist
  • Lauderdale Lakes, FL
  • NPI 1659446268
  Authorized official Same address or phone

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1619246295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NW 100TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244372",
            "telephone_number": "954-558-0770",
            "fax_number": "954-733-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131913",
            "telephone_number": "954-497-0846",
            "fax_number": "954-733-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASTASIA JOBSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "JOBSON",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "954-497-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OPC3904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.