Individual provider Active NPI

Alfred Selmar Jolson, M.D.

  • Ophthalmology Physician
  • Maitland, FL
National Provider Identifier
1871676395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 11718 Issued in FL
Practice address
2901 Waumpi TRL
Maitland, FL 32751-5111
Phone
(407) 629-1880
Fax
(407) 629-1880
NPI assigned
Oct 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 11718 FL Primary

Addresses

Primary practice location

2901 Waumpi TRL
Maitland, FL 32751-5111

Mailing address

2901 Waumpi TRL
Maitland, FL 32751-5111
Phone (407) 629-1880

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11718FLMDMental Health Counselor
ME 11718FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cohn Eye Center , PA Ophthalmology Past Accepting new patients

Organizations & group practices 1

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871676395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WAUMPI TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515111",
            "telephone_number": "407-629-1880",
            "fax_number": "407-629-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WAUMPI TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515111",
            "telephone_number": "407-629-1880",
            "fax_number": "407-629-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLSON",
        "first_name": "ALFRED",
        "middle_name": "SELMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 11718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.