Individual provider Active NPI

Jane Bucci O'Hora, O.D.

  • Optometrist
  • Sebring, FL
National Provider Identifier
1811005036
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4097 Issued in FL
Practice address
4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171
Phone
(863) 385-3937
Fax
(863) 385-3940
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4097 FL Primary

Addresses

Primary practice location

4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171

Mailing address

922 Cougar Blvd
Sebring, FL 33872-8705
Phone (401) 374-7486

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060227000413 FL Practitioner - Optometry 1951290519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Mobile Vision Partners PLLCGroup PAC ID 3173804523, 6 clinicians

Practice addresses (Care Compare)

2451 N McMullen Booth Rd
Suite 201
Clearwater, FL 33759-1362
Phone (727) 216-6214

4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171
Phone (863) 385-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4097FLMDOptometrist
ODTA00309RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Schaffer OD Mba PL Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Bucci Eyecare, PLLC Optometrist CurrentSince Jun 4, 2013 Accepting new patients

Locations

36205 US Hwy 27 N
Haines City, FL 33844
Phone (863) 224-8170

4325 Sun N Lake Blvd
Ste 104
Sebring, FL 33872
Phone (863) 385-3937

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1811005036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 COUGAR BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338728705",
            "telephone_number": "401-374-7486",
            "fax_number": "863-385-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 104",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "863-385-3937",
            "fax_number": "863-385-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HORA",
        "first_name": "JANE",
        "middle_name": "BUCCI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.