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JAY JUSTIN OLDER MD NPI 1477531432


NPI Information

NPI: 1477531432
Provider Name: JAY JUSTIN OLDER, MD
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
4444 E FLETCHER AVE STE D
TAMPA, FL
ZIP 33613
Phone: (813) 971-3846
Get Directions

Jay Justin Older, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Tampa, FL. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Jay Justin Older, MD NPI is 1477531432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4444 E FLETCHER AVE STE D
TAMPA, FL
ZIP 33613
Phone: (813) 971-3846
Fax: (813) 977-2611

The NPI 1477531432 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 9/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME21356FLORIDANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryME21356FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
129789OTHERFLORIDABCBS INDIVIDUAL #
2181907220OTHERFLORIDARAILROAD MEDICARE
3624179OTHERFLORIDAAETNA
4ME0021356OTHERFLORIDASTATE LICENSE #
51036672011OTHERFLORIDACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.