Active NPI
Jesse Ning, OD
- Optometrist
- Winter Haven, FL
National Provider Identifier
1710727664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6450
- Practice address
- 723 3Rd St SW
Winter Haven, FL 33880-3419 - Phone
- (863) 297-5067
- NPI assigned
- May 29, 2024
- Last updated
- May 30, 2024
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6450 | FL | Primary |
Addresses
Primary practice location
723 3Rd St SW
Winter Haven, FL 33880-3419
Mailing address
32 Philips Lake Court
Richmond Hill, ONTARIO L4E 0S8
CA
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6450 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1710727664",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "32 PHILIPS LAKE COURT",
"city": "RICHMOND HILL",
"state": "ONTARIO",
"postal_code": "L4E 0S8"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 3RD ST SW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803419",
"telephone_number": "863-297-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NING",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.