Provider Demographics
NPI:1851548531
Name:ARMESTO, JEANINE HAYEN (OD)
Entity Type:Individual
Prefix:DR
First Name:JEANINE
Middle Name:HAYEN
Last Name:ARMESTO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JEANINE
Other - Middle Name:MARIE
Other - Last Name:HAYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:400 N BUMBY AVE
Mailing Address - Street 2:ATTN: DR. JEANINE HAYEN ARMESTO
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-6028
Mailing Address - Country:US
Mailing Address - Phone:407-893-6222
Mailing Address - Fax:407-896-4200
Practice Address - Street 1:400 N BUMBY AVE
Practice Address - Street 2:ATTN: DR. JEANINE HAYEN ARMESTO
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-6028
Practice Address - Country:US
Practice Address - Phone:407-893-6222
Practice Address - Fax:407-896-4200
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002129152W00000X
FLOPC 004323152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist