Active NPI
Anastasia Camille Jobson, O. D.
- Optometrist
- Lauderdale Lakes, FL
National Provider Identifier
1659446268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3904
- Practice address
- 3001 N. State Road #7
Lauderdale Lakes, FL 33313 - Phone
- (954) 497-0846
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 3904 | FL | Primary |
Addresses
Primary practice location
3001 N. State Road #7
Lauderdale Lakes, FL 33313
Mailing address
2961 NE 185TH St
#1601
Aventura, FL 33180-2938
Phone (305) 935-5067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3904 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlene Cruz-Govin O D PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lauderdale Lakes, FL
- NPI 1619246295
-
- Optometrist
- Weston, FL
- NPI 1245401538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659446268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 NE 185TH ST",
"address_2": "#1601",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802938",
"telephone_number": "305-935-5067",
"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": "33313",
"telephone_number": "954-497-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBSON",
"first_name": "ANASTASIA",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.