MRS. JENNIFER MYLES IANNARELLI (O.D.) – Optometrist, NPI 1902879554

MRS. JENNIFER MYLES IANNARELLI (O.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3926 (FL). The NPI Number for MRS. JENNIFER MYLES IANNARELLI (O.D.) is 1902879554

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER MYLES IANNARELLI (O.D.)
NPI
1902879554
Phone
(386) 255-5050
Address
505 Health Blvd
Enumeration Date
13 February 2006
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3868723111
Graduation Year
2004 (22 years ago)
PAC ID
2365409240
Group Practice PAC ID
7113189358
Professional Enrollment ID
I20041213000284
Address ID
FL321748196OR1400XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for MRS. JENNIFER MYLES IANNARELLI (O.D.)

  • 505 Health Blvd

    Daytona Beach, FL 32114

    Phone: (386) 255-5050

    Fax: (386) 255-5029

    Type: Location

  • 1400 HAND AVE STE N

    ORMOND BEACH, FL 321748196

    Phone: (386) 872-3111

    Fax: (386) 872-3190

    Type: Location

  • 505, Health Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 32114

    Phone: (386) 255-5050

    Fax: (386) 255-5029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $714.

Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Alcon Vision LLC ($371).

Total Amount

$714

General + Research + Ownership

Payments

7

Total payment records

General Amount

$714

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041213000284IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system205179$0
92134Imaging of retina130116$0
92012Established patient problem focused exam of visual system6865$0
99213Established patient office or other outpatient visit, 20-29 minutes6555$0
92133Imaging of optic nerve6260$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113189358View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YTX
O P T O M E T R YFL

Reviews

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Frequently asked questions

Is there an official ID for MRS. JENNIFER MYLES IANNARELLI (O.D.) in U.S. healthcare records?
The official identifier for MRS. JENNIFER MYLES IANNARELLI (O.D.) is NPI 1902879554.
Is there an active status for MRS. JENNIFER MYLES IANNARELLI (O.D.)?
For scheduling context, MRS. JENNIFER MYLES IANNARELLI (O.D.) is shown as active in the registry.
What clinical focus is listed for MRS. JENNIFER MYLES IANNARELLI (O.D.)?
At a glance, MRS. JENNIFER MYLES IANNARELLI (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is MRS. JENNIFER MYLES IANNARELLI (O.D.) associated with Daytona Beach?
Public fields place MRS. JENNIFER MYLES IANNARELLI (O.D.) around Daytona Beach, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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