Active NPIIndividual providerSole proprietor

Dr. Jesse S Pelletier, MD

Ophthalmology in North Miami Beach, Florida

NPI Number1952440372
Practice location
1400 NE Miami Gardens Dr, Suite 203, North Miami Beach, FL 33179-4845
Fax
305-940-1501
Last updated
April 27, 2026

Jesse Shane Pelletier is an Ophthalmology based in North Miami Beach, FL. Jesse Shane Pelletier practices in North Miami Beach, FL and has the professional credentials of MD. The NPI Number for Jesse Shane Pelletier is 1952440372 and holds a License No. ME99313 (FL). The current practice location address for Jesse Shane Pelletier is 1400 NE Miami Gardens Dr, Suite 203, North Miami Beach, FL 33179-4845 and can be reached out via phone at 305-940-1500 and via fax at 305-940-1501.

Provider Profile Details

NPI Number
1952440372
Provider Name
Jesse Shane Pelletier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 NE Miami Gardens Dr, Suite 203, North Miami Beach, FL 33179-4845
Phone Number
305-940-1500
Fax Number
305-940-1501
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2007
Last Update Date
April 27, 2026
Certification Date
April 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 NE Miami Gardens Dr
Suite 203
North Miami Beach, FL 33179-4845
State
Florida
Zip
33179-4845
Phone Number
305-940-1500
Fax Number
305-940-1501
North Miami Beach, FL 33179Get directions →

Provider Business Mailing Address Details

Address
1400 NE Miami Gardens Dr Ste 203
North Miami Beach, FL 33179-4844
City
North Miami Beach
State
FL
Zip
33179-4844
Phone Number
305-940-1500
Fax Number
305-940-1501

License Information

License Number (1)
ME99313
License State (1)
FL
Taxonomy (1)
Ophthalmology · 207W00000X · Primary
License Number (2)
1898
License State (2)
VI
Taxonomy (2)
Ophthalmology · 207W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jesse S Pelletier, MD?

The NPI number of Dr. Jesse S Pelletier, MD is 1952440372. It was assigned on February 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jesse S Pelletier, MD?

Dr. Jesse S Pelletier, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in FL under license number ME99313.

Where does Dr. Jesse S Pelletier, MD practice?

The practice location is 1400 NE Miami Gardens Dr, Suite 203, North Miami Beach, FL 33179-4845. The office can be reached at 305-940-1500 (phone) or 305-940-1501 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952440372 directly on the NPPES registry website.

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