Jennifer Bauza, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4423 Issued in FL

Practice address

12055 Pines Blvd
Pembroke Pines, FL 33026-4112

Phone

(754) 400-2015

NPI assigned

Sep 28, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jennifer Bauza, OD PA

  • Optometrist
  • Hialeah, FL
  • NPI 1134443997
  Authorized official Same address or phone

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1710211412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 W 25TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164072",
            "telephone_number": "786-333-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264112",
            "telephone_number": "754-400-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUZA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S Batchelder, M.ED, CBHCMS
• Gustavo Alberto Batista, M.D.
• Jessica Batista, MD
• Melissa Anna Batres, DMD
• Marcia Batur, LMHC
• Baylight Behavioral Health LLC
• Bdsmedicine Services Corp
• Laura M Bean
• Wendy D Beauchamp, PHARM.D
• Karina J Beaujon

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.