Active NPI
Jack J Yager, O.D.
- Corneal and Contact Management Optometrist
- Orlando, FL
National Provider Identifier
1700995933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPC1134
- Practice address
- 7051 De Phillips Blvd
Suite 3
Orlando, FL 32819 - Phone
- (407) 351-3231
- Fax
- (407) 354-3397
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPC1134 | FL | Primary |
Addresses
Primary practice location
7051 De Phillips Blvd
Suite 3
Orlando, FL 32819
Mailing address
7051 De Phillips Blvd
Suite 3
Orlando, FL 32819
Phone (407) 351-3231
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Swanson Sowers Lee & Yager PA | Corneal and Contact Management | Past | Accepting new patients |
Interoperability endpoints
- jack.yager@direct.revolutionehr.com
Organizations & group practices 1
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.
-
- Optometrist
- Orlando, FL
- NPI 1205993078
Corneal and Contact Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1700995933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 DE PHILLIPS BLVD",
"address_2": "SUITE 3",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "407-351-3231",
"fax_number": "407-354-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 DE PHILLIPS BLVD",
"address_2": "SUITE 3",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "407-351-3231",
"fax_number": "407-354-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGER",
"first_name": "JACK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC1134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.