Individual provider Active NPI

Justina Vasiliauskas, OD

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1952900805
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5587 Issued in FL
Practice address
2000 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33409-6504
Phone
(561) 500-2020
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5587 FL Primary

Addresses

Primary practice location

2000 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33409-6504

Mailing address

823 SE 12TH Ave
Deerfield Beach, FL 33441-5866
Phone (561) 313-5197

Other practice location 1

601 University Blvd Ste 101
Jupiter, FL 33458-2788
Phone (561) 500-2020

Other practice location 2

5 W Sample Rd
Deerfield Beach, FL 33064-3542
Phone (800) 782-1711

Other names 1

  • Justina Vasiliauskaite Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jvasiliauskas@randeye.com Direct

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
I20201123001076 FL Practitioner - Optometry 9537570585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mittleman Eye Center PAGroup PAC ID 8628974730, 10 clinicians

Practice addresses (Care Compare)

2000 Palm Beach Lakes Blvd
Suite 400
West Palm Beach, FL 33409-6504
Phone (561) 478-2015

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5587FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mittleman Eye Center PA CurrentSince Nov 1, 2020 Accepting new patients
Mittleman Eye Center PA CurrentSince Nov 1, 2020 Accepting new patients

Locations

601 University Blvd
Ste 101
Jupiter, FL 33458
Phone (561) 404-5030

2000 Palm Beach Lakes Blvd
Ste 400
West Palm Beach, FL 33409
Phone (561) 478-2015

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jvasiliauskas@randeye.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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1952900805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SE 12TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415866",
            "telephone_number": "561-313-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-500-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582788",
            "country_code": "US",
            "telephone_number": "561-500-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 W Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330643542",
            "country_code": "US",
            "telephone_number": "800-782-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASILIAUSKAS",
        "first_name": "JUSTINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jvasiliauskas@randeye.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 W Sample Rd",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330643542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "VASILIAUSKAITE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.