St Johns Eye Associates PA
A Medicare group practice based in Ponte Vedra, FL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6406990605), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6406990605
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100225000113 | FL | Part B Supplier - Clinic/Group Practice | 1710185798 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St Johns Eye Associates PA
- Optometrist
- St Augustine, FL
- NPI 1710185798
-
St Johns Eye Associates at Nocatee
- Optometrist
- Ponte Vedra, FL
- NPI 1629326343
-
St Johns Eye Associates PA
- Optometrist
- St Augustine, FL
- NPI 1518699065
-
St Johns Eye Associates PA
- Optometrist
- Jacksonville, FL
- NPI 1609502178
Practice locations
- St Augustine, FL1
- Saint Augustine, FL1
- Jacksonville, FL1
- Ponte Vedra, FL1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (8).
-
Austin Emory Fay, OD
- Optometrist
- St Augustine, FL
- NPI 1982389433
-
Diane Lynn Kapadia, OD
- Optometrist
- St Augustine, FL
- NPI 1760471668
-
Sharokh Nani Kapadia, OD
- Optometrist
- St Augustine, FL
- NPI 1942299847
-
Morgan Kickliter
- Optometrist
- Jacksonville, FL
- NPI 1487146635
-
Gina Kubesh, OD
- Optometrist
- St Augustine, FL
- NPI 1538042767
-
Ngan Kim Huynh Lam
- Optometrist
- Ponte Vedra, FL
- NPI 1407423247
-
Shawna Moinipour, O.D.
- Optometrist
- St Augustine, FL
- NPI 1447091657
-
Chelsea Ariel Nissinoff, OD
- Optometrist
- St Augustine, FL
- NPI 1720715634
-
Dea Opari
- Optometrist
- Jacksonville, FL
- NPI 1245075001
-
Jhaleil Phillips, OD
- Optometrist
- St Augustine, FL
- NPI 1972111847
-
Samantha Price
- Optometrist
- St Augustine, FL
- NPI 1538511993
-
Dillon Smith, OD
- Optometrist
- St Augustine, FL
- NPI 1245722917
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.