Active NPI
Victoria Luiza Pitts
- Optician
- Jacksonville, FL
National Provider Identifier
1073319398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO7361
- Practice address
- 10251 Shops LN
Jacksonville, FL 32258-7406 - Phone
- (904) 288-8611
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO7361 | FL | Primary |
Addresses
Primary practice location
10251 Shops LN
Jacksonville, FL 32258-7406
Mailing address
10251 Shops LN
Jacksonville, FL 32258-7406
Phone (904) 288-8611
Other practice location 1
11900 Atlantic Blvd
Jacksonville, FL 32225-2920
Phone (904) 641-7178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7361 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1073319398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10251 SHOPS LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587406",
"telephone_number": "904-288-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10251 SHOPS LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587406",
"telephone_number": "904-288-8611"
}
],
"practiceLocations": [
{
"address_1": "11900 Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322252920",
"country_code": "US",
"telephone_number": "904-641-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITTS",
"first_name": "VICTORIA LUIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO7361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.