Jaime Gossan OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5011 Issued in FL

Legal business name

JAIME GOSSAN OD, PA

Practice address

260 S Federal Hwy
Deerfield Beach, FL 33441-4130

Phone

(954) 725-0017

Fax

(954) 725-0018

NPI assigned

Sep 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Shouse Gossan, O.D.

Title

Optometrist

Phone

(919) 357-0824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1730638313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414130",
            "telephone_number": "954-725-0017",
            "fax_number": "954-725-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414130",
            "telephone_number": "954-725-0017",
            "fax_number": "954-725-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME GOSSAN OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "GOSSAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "SHOUSE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "919-357-0824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacosta PA
• Leslie Alejandra Jadan
• Sahar Aliza Jafri, PA-C
• Susan Jagmohan
• Selena Jagnanan
• Artur Jakubowski, DDS
• Jamairican Respiratory Services, Inc.
• Anum Jamal, MD
• James E. Zimmerman, O.D. P.a.
• James Ewing DC PA

• Optometrist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.