Organization Active NPI

Jo Annette Salas OD LLC

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1679938799
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3633 Issued in FL
Legal business name
JO ANNETTE SALAS OD LLC
Practice address
451 E Altamonte Dr
Suite 101
Altamonte Springs, FL 32701-4613
Phone
(407) 332-0644
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Jo Annette Salas, O.D.
Title
Owner
Phone
(407) 332-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3633 FL Primary

Addresses

Primary practice location

451 E Altamonte Dr
Suite 101
Altamonte Springs, FL 32701-4613

Mailing address

789 Seneca Meadows Rd
Winter Springs, FL 32708-4726

National Provider Directory

National Provider Directory

Locations

451 E Altamonte Dr
Ste 101
Altamonte Springs, FL 32701
Phone (407) 332-0644

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1679938799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 SENECA MEADOWS RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALTAMONTE DR",
            "address_2": "SUITE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014613",
            "telephone_number": "407-332-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO ANNETTE SALAS OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "JO ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-332-0644",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.