Active NPI
Joanne Kundl, OD, PA
- Optometrist
- Homestead, FL
National Provider Identifier
1659357267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0PC0001665
- Legal business name
- JOANNE KUNDL, OD, PA
- Practice address
- 28 N Homestead Blvd
Homestead, FL 33030-7416 - Phone
- (305) 247-2334
- NPI assigned
- Dec 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joanne Kundl, O.D.
- Title
- Doctor
- Phone
- (305) 247-2334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0PC0001665 | MA | Primary |
Addresses
Primary practice location
28 N Homestead Blvd
Homestead, FL 33030-7416
Mailing address
28 N Homestead Blvd
Homestead, FL 33030-7416
Phone (305) 247-2334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620931900 | Medicaid | FL | |
| 078231900 | Medicaid | FL | |
| 19664A | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Advanced Family Eyecare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228953600000",
"number": "1659357267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-247-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-247-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNE KUNDL, OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2008-12-11",
"status": "A",
"authorized_official_last_name": "KUNDL",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "305-247-2334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": "0PC0001665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620931900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078231900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "19664A",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Family Eyecare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.