1851548531 NPI number — DR. JEANINE HAYEN ARMESTO O.D.

Table of content: DR. JEANINE HAYEN ARMESTO O.D. (NPI 1851548531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851548531 NPI number — DR. JEANINE HAYEN ARMESTO O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMESTO
Provider First Name:
JEANINE
Provider Middle Name:
HAYEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAYEN
Provider Other First Name:
JEANINE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
O.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851548531
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 N BUMBY AVE
Provider Second Line Business Mailing Address:
ATTN: DR. JEANINE HAYEN ARMESTO
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32803-6028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-893-6222
Provider Business Mailing Address Fax Number:
407-896-4200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 N BUMBY AVE
Provider Second Line Business Practice Location Address:
ATTN: DR. JEANINE HAYEN ARMESTO
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32803-6028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-893-6222
Provider Business Practice Location Address Fax Number:
407-896-4200
Provider Enumeration Date:
08/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OEG002129 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: OPC 004323 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com