Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124545827 Individual Practitioner Female Practitioner

Dr. Jennifer Ann Pathiyil , OD

Optometrist • North Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Pathiyil, OD is a registered healthcare professional specializing in Optometrist in North Miami, FL. Practice services are available at 11645 BISCAYNE BLVD STE 103 under active NPI credentials.

Dr. Pathiyil is affiliated with Miami Beach Community Health Center, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11645 Biscayne Blvd Ste 103

North Miami, FL 331813138

Telephone 3055388835
Fax 3059940054
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in North Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.7 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
13 Specialists

Practicing in North Miami, FL (3724 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC5424

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101304000 (FL)

Hospital & Practice Group Affiliations

Miami Beach Community Health Center, Inc.

11645 Biscayne Blvd, North Miami, FL 331813155

Phone: 3055388835

Miami Beach Community Health Center, Inc.

11645 Biscayne Blvd, Miami, FL 331813155

Phone: 3055388835

Secondary Practice Locations

710 Alton Rd

Miami Beach, FL 331395504

Phone: 3055388835

1221 71st St

Miami Beach, FL 331413647

Phone: 3055388835

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003329038

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1003950502

Doctor of Dental Medicine

Mckenzi Payne , PA-C

Physician Assistant - Medical

NPI 1013740489

Physician Assistant (Certified)

NPI 1033180443

Doctor of Medicine (M.D.)

Estefanny Gonzalez Sosa , APRN, FNP-C

Nurse Practitioner - Family

NPI 1043138944

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Josefina Kinsey , DDS

Dentist - General Practice

NPI 1043620990

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 23, 2019

Registered at 11645 BISCAYNE BLVD STE 103, NORTH MIAMI, FL 331813138 (Tel: 3055388835)

📍
Updated Business Mailing Address January 23, 2019

Registered at 11645 BISCAYNE BLVD STE 207, NORTH MIAMI, FL 331813138 (Tel: 3055388835)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 4589 HENRY C YATES LN, SAINT CLOUD, FL 347696764 (Tel: 4078912010)

📍
Updated Business Mailing Address August 24, 2017

Registered at 16339 NW 14TH ST, PEMBROKE PINES, FL 330281315 (Tel: 9546751134)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as JENNIFER PATHIYIL, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Optometrist (License #OPC5424 in FL)

🟢
Initial NPI Registration & Enumeration August 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124545827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2017
Last Update: November 18, 2024
Sole Proprietor: No

Mailing Address

11645 Biscayne Blvd Ste 207

North Miami, FL 331813138

Phone: 3055388835

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.