Individual provider Active NPI

Jason Xuna, O.D.

  • Optometrist
  • North Bay Village, FL
National Provider Identifier
1861655409
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4397 Issued in FL
Practice address
1881 79TH Street Cswy
2006
North Bay Village, FL 33141-4222
Phone
(305) 717-8181
Fax
(305) 675-0443
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56007318 NY
Optometrist 152W00000X OPC 4397 FL Primary

Addresses

Primary practice location

1881 79TH Street Cswy
2006
North Bay Village, FL 33141-4222

Mailing address

1881 79TH Street Cswy
2006
North Bay Village, FL 33141-4222
Phone (305) 717-8181

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
I20090302000387 FL Practitioner - Optometry 3375609209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3670 W Oakland Park Boulevard
Lauderdale Lakes, FL 33311-1148
Phone (305) 717-8181

Hospital & facility affiliations

  • Douglas Gardens Hospital Hospital, Miami, FL, CCN 100277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
56007318NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Doctors of Florida PA Optometrist Current Accepting new patients
Mobile Doctors of Florida PA Optometrist CurrentSince Oct 15, 2009 Accepting new patients

Locations

3670 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (305) 717-8181

Interoperability endpoints

  • Direct secure messaging: jasonm.xunacintron.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1861655409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 79TH STREET CSWY",
            "address_2": "2006",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414222",
            "telephone_number": "305-717-8181",
            "fax_number": "305-675-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 79TH STREET CSWY",
            "address_2": "2006",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414222",
            "telephone_number": "305-717-8181",
            "fax_number": "305-675-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUNA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56007318",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

Verify at the official NPI Registry.