Individual provider Active NPI

Jessica Blanco, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1942559083
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4746 Issued in FL
Practice address
1205 SW 37TH Ave
Miami, FL 33135-4226
Phone
(305) 582-2598
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 4746 FL Primary

Addresses

Primary practice location

1205 SW 37TH Ave
Miami, FL 33135-4226

Mailing address

8952 Grand Canal Dr
Miami, FL 33174-2305
Phone (305) 582-2598

Other practice location 1

8700 W Flagler St
Miami, FL 33174-2401
Phone (305) 582-2598

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
I20140828001844 FL Practitioner - Optometry 0840418166 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4746FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Eyecare PA CurrentSince Aug 1, 2014 Accepting new patients
Care Optical, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients

Locations

8940 N Kendall Dr
Ste 400E
Miami, FL 33176
Phone (305) 598-2020

9732 SW 24th St
Miami, FL 33165
Phone (305) 221-0660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jessica.blanco.p1@direct.caremax.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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1942559083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 GRAND CANAL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742305",
            "telephone_number": "305-582-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354226",
            "telephone_number": "305-582-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331742401",
            "country_code": "US",
            "telephone_number": "305-582-2598",
            "fax_number": "305-582-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.