JUAN A MENJIVAR OD PA
NPI 1265665079
Optometrist in Winter Park, FL

Active since August 26, 2009
180 S KNOWLES AVE, WINTER PARK, FL 32789(407) 629-2020 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan A Menjivar Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN A MENJIVAR OD PA (NPI 1265665079) is a healthcare organization registered as an optometrist in Winter Park, Florida and active in the NPI registry since August 2009. The organization lists Juan A Menjivar, President, as its authorized official.

NPPES Registry Identity

NPI1265665079
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJUAN A MENJIVAR OD PA
Location Address180 S KNOWLES AVEWinter Park, FL 32789-7009
Mailing Address1414 Se 8th StOcala, FL 34471-4057 · (281) 630-6052
Organization SubpartNo
Authorized OfficialJuan A MenjivarPresident · (281) 630-6052
Enumeration DateAugust 26, 2009
Last NPPES UpdateFebruary 6, 2013
NPI 1265665079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC4351
Definition
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.
180 S KNOWLES AVE, Winter Park, FL 32789

Other Identifiers 1

Medicare PINFD548AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
180 S KNOWLES AVE
WINTER PARK, FL 32789
Thoracic Surgery (Cardiothoracic Vascular Surgery)
180 S KNOWLES AVE, SUITE 1
WINTER PARK, FL 32789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan A Menjivar Od PA's NPI number?

The NPI number for Juan A Menjivar Od PA is 1265665079. It was assigned to this organization in the NPPES registry on August 26, 2009.

Where is Juan A Menjivar Od PA located?

Juan A Menjivar Od PA is located at 180 S Knowles Ave, Winter Park, FL 32789. The listed phone number is (407) 629-2020.

What is Juan A Menjivar Od PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Juan A Menjivar Od PA was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.