Organization Active NPI

Joanne Kundl, OD, PA

  • Optometrist
  • Homestead, FL
National Provider Identifier
1659357267
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0PC0001665 Issued in MA
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

Updated by the provider on Dec 11, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
620931900MedicaidFL
078231900MedicaidFL
19664AOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Advanced Family Eyecare Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.