Provider Demographics
NPI:1699907352
Name:DR. JASON XUNA P.A.
Entity type:Organization
Organization Name:DR. JASON XUNA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:XUNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-669-9862
Mailing Address - Street 1:6917 COLLINS AVE
Mailing Address - Street 2:SUITE 1426
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3263
Mailing Address - Country:US
Mailing Address - Phone:303-669-9862
Mailing Address - Fax:
Practice Address - Street 1:6917 COLLINS AVE
Practice Address - Street 2:SUITE 1426
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3263
Practice Address - Country:US
Practice Address - Phone:303-669-9862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000405500Medicaid
PTAN BJ837Medicare PIN