Individual provider Active NPI

Crystal Kaye Victor, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1124645056
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5822 Issued in FL
Practice address
7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294
Phone
(904) 781-7717
Fax
(904) 781-6367
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 OPC5822 FL Primary

Addresses

Primary practice location

7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

28 Blanding Blvd
Orange Park, FL 32073-2202
Phone (904) 264-5483

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
I20210427000242 FL Practitioner - Optometry 6103234471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

13760 Old Saint Augustine Rd
Suite 102
Jacksonville, FL 32258-5492
Phone (904) 379-9068

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

7077 Normandy Blvd
Suite 7
Jacksonville, FL 32205-6294
Phone (904) 781-7717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5822FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Optometrist CurrentSince Jan 8, 2021 Accepting new patients
Nova Southeastern University Inc. CurrentSince Jan 8, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

7077 Normandy Blvd
Ste 7
Jacksonville, FL 32205
Phone (904) 781-7717

11945 San Jose Blvd
Ste 202
Jacksonville, FL 32223
Phone (904) 262-2249

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

28 Blanding Blvd
Orange Park, FL 32073
Phone (904) 264-5483

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1124645056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 NORMANDY BLVD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056294",
            "telephone_number": "904-781-7717",
            "fax_number": "904-781-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732202",
            "country_code": "US",
            "telephone_number": "904-264-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "CRYSTAL",
        "middle_name": "KAYE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.