Individual provider Active NPI

Caitlin Horan, OD

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1063342574
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6934 Issued in FL
Practice address
1540 Business Center Dr Ste a
Orange Park, FL 32003-4419
Phone
(904) 564-2020
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6934 FL Primary

Addresses

Primary practice location

1540 Business Center Dr Ste a
Orange Park, FL 32003-4419

Mailing address

1540 Business Center Dr Ste a
Orange Park, FL 32003-4419

Other practice location 1

1560 Kingsley Ave Ste 2
Orange Park, FL 32073-9200
Phone (904) 564-2020

Other practice location 2

11945 San Jose Blvd Ste 102
Jacksonville, FL 32223-1627
Phone (904) 564-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6934FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Sep 21, 2026 Accepting new patients
North Florida Surgeons, PA PastSince Sep 21, 2026 Accepting new patients

Locations

7051 Southpoint Pkwy S
Ste 300
Jacksonville, FL 32216
Phone (904) 398-2720

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

1560 Kingsley Ave
Ste 3
Orange Park, FL 32073
Phone (904) 264-2677

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1063342574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BUSINESS CENTER DR STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BUSINESS CENTER DR STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034419",
            "telephone_number": "904-564-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Kingsley Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320739200",
            "country_code": "US",
            "telephone_number": "904-564-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11945 San Jose Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231627",
            "country_code": "US",
            "telephone_number": "904-564-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAN",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.