Active NPI
Michael Stuart Nason, O.D.
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2692
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620019200 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4225 Lakeside Dr
Jacksonville, FL 32210-3305
Phone (904) 387-5704
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Ted Brink & Associates | Optometrist | Current | Accepting new patients |
| Dr. Ted Brink and Associates PA | Optometrist | Current | Accepting new patients |
| Clarity Eye Center PA | Optometrist | Current | Accepting new patients |
| Aeg Florida Professional PLLC | Optometrist | Current | 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.
-
- Optometrist
- Jacksonville, FL
- NPI 1164156246
-
- Optometrist
- Orange Park, FL
- NPI 1902438286
-
- Optometrist
- Jacksonville, FL
- NPI 1427138650
-
- Optometrist
- Jacksonville, FL
- NPI 1730402686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.