Jennifer Myles Iannarelli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3926 Issued in FL

Practice address

1400 Hand Ave Ste N
Ormond Beach, FL 32174-8196

Phone

(386) 872-3111

Fax

(386) 872-3190

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jennifer Myles Former name

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

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Jason Iannarelli PAGroup PAC ID 7113189358, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Jason Iannarelli P.a.

  • Optometrist
  • Ormond Beach, FL
  • NPI 1083972640

  FL, Optometrist

  Medicare reassignment Care Compare group NPD
• Digaetano Cataract Services PA

  • Ophthalmology Physician
  • Daytona Beach, FL
  • NPI 1811960479

  FL, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1902879554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE STE N",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748196",
            "telephone_number": "386-872-3111",
            "fax_number": "386-872-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE STE N",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748196",
            "telephone_number": "386-872-3111",
            "fax_number": "386-872-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "32114",
            "country_code": "US",
            "telephone_number": "386-255-5050",
            "fax_number": "386-255-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANNARELLI",
        "first_name": "JENNIFER",
        "middle_name": "MYLES",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620993900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MYLES",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Hurley, PSY.D.
• Lindsey Hutchinson, OD, MS
• Laura Hutson, PTA
• Ruth Ann Hyatt, O.D.
• Jason Edward Iannarelli, OD
• Amy Deborah Iannitelli, LMHC
• Therese A Ibrahim, MD
• Independent Surgical Assist Inc
• Infectious Diseases of Mid-Florida, PA
• Inner Riches Osteopathic Medical Arts LLC

• Optometrist in Ormond Beach, FL
• Providers in Ormond 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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.