Jennifer Davidson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5304 Issued in FL

Practice address

7300 SW 57TH Ave
South Miami, FL 33143-5312

Phone

(305) 665-2353

Fax

(305) 665-2853

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jennifer Warne Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health of South Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1336152347
  Medicare reassignment NPD
• Community Health of South Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Homestead, FL
  • NPI 1821251331
  NPD
• Community Health of South Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Key Largo, FL
  • NPI 1417704198
  NPD
• Eye Care Optical Center, Inc.

  • Eyewear Supplier
  • South Miami, FL
  • NPI 1922212786
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1689110785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 57TH AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435312",
            "telephone_number": "305-665-2353",
            "fax_number": "305-665-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 57TH AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435312",
            "telephone_number": "305-665-2353",
            "fax_number": "305-665-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003220",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5304",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WARNE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul E Damski, MD
• Darrel J Mase Jr MD PA
• Kianoosh Dastan, M.D.
• Shea Lee Davenport, MA
• David Gerth MD PA
• Oliver Quinn Campbell Davidson, MD
• Maylin Davila Perez, DDS
• Cristina Lauda Davis, PH.D.
• Ryan C Davis, PHARM.D.
• Sarah Ellen Davis, DO

• Optometrist in South Miami, FL
• Providers in South Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.