Individual provider Active NPI

Michael Stuart Nason, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1073515284
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2692 Issued in FL
Practice address
4225 Lakeside Dr
Jacksonville, FL 32210-3305
Phone
(904) 387-5704
Fax
(904) 387-5751
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC002692 FL
Optometrist 152W00000X OPC2692 FL Primary

Addresses

Primary practice location

4225 Lakeside Dr
Jacksonville, FL 32210-3305

Mailing address

4415 Sidewinder TRL
Middleburg, FL 32068-3250
Phone (561) 951-7285

Other practice location 1

4415 Sidewinder Trl
Middleburg, FL 32068-3250
Phone (561) 951-7285

Other identifiers 1

IdentifierTypeStateIssuer
620019200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000240 FL Practitioner - Optometry 1456362144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

4225 Lakeside Dr
Jacksonville, FL 32210-3305
Phone (904) 387-5704

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Ted Brink & Associates Optometrist CurrentSince Jun 20, 2022 Accepting new patients
Dr. Ted Brink and Associates PA Optometrist CurrentSince Jun 20, 2022 Accepting new patients
Clarity Eye Center PA Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Oct 13, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

4225 Lakeside Dr
Jacksonville, FL 32210
Phone (904) 387-5704

10300 Southside Blvd
Ste 238
Jacksonville, FL 32256
Phone (904) 363-8282

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

1075 Oakleaf Plantation Pkwy
Ste 300
Orange Park, FL 32065
Phone (334) 467-9776

2225 A1A S
Ste C2
St Augustine, FL 32080
Phone (904) 471-8750

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1073515284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 SIDEWINDER TRL",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683250",
            "telephone_number": "561-951-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LAKESIDE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103305",
            "telephone_number": "904-387-5704",
            "fax_number": "904-387-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Sidewinder Trl",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320683250",
            "country_code": "US",
            "telephone_number": "561-951-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASON",
        "first_name": "MICHAEL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC002692",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620019200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.