Jack Jon Mazlin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1426 Issued in FL

Practice address

1338 E Vine St
Kissimmee, FL 34744-3625

Phone

(407) 846-2600

Fax

(407) 846-7658

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets, PA

  • Optometrist
  • Tampa, FL
  • NPI 1740515105
  NPD
• Insight Eyecare and Optical, LLC

  • Optometrist
  • Saint Cloud, FL
  • NPI 1205421781
  NPD (past)
• Morell Eye Care Inc

  • Optometrist
  • Kissimmee, FL
  • NPI 1275119927
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699800433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 COVE LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328363764",
            "telephone_number": "407-354-1177",
            "fax_number": "407-846-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443625",
            "telephone_number": "407-846-2600",
            "fax_number": "407-846-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZLIN",
        "first_name": "JACK",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayas Trusted Healthcare LLC
• Gracinda Mayela Cooper, MS, RMHCI
• Keisha C Mayers
• Jeremy Jackson Mayfield
• Josue Maysonet, D.C., CCSP
• MBS Massage and Chiropractic Spa LLC
• Natasha Roxann MC Coy, OTR
• MC Medical LLC
• MC Medical LLC
• James A McAleer, MD

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.