Individual provider Active NPI

Benjamin Walker Moran

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1184468126
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6504 Issued in FL
Practice address
4413 Town Center Pkwy Ste 207
Jacksonville, FL 32246-8570
Phone
(904) 998-9871
NPI assigned
Jun 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 6504 FL Primary

Addresses

Primary practice location

4413 Town Center Pkwy Ste 207
Jacksonville, FL 32246-8570

Mailing address

4413 Town Center Pkwy Ste 207
Jacksonville, FL 32246-8570
Phone (904) 853-0266

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
I20240806004125 FL Practitioner - Optometry 1759828882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care PLLCGroup PAC ID 9638425960, 11 clinicians

Practice addresses (Care Compare)

4413 Town Ctr Pkwy
Suite 207
Jacksonville, FL 32246-8570
Phone (904) 998-9871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6504FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, PLLC Optometrist CurrentSince Jul 8, 2024 Accepting new patients

Locations

1929A W Brandon Blvd
Brandon, FL 33511
Phone (813) 662-2200

4418 Commons Dr E
Ste A
Destin, FL 32541
Phone (850) 654-3937

6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321

4413 Town Center Pkwy
Ste 207
Jacksonville, FL 32246
Phone (904) 998-9822

9398-1 Arlington Expy
Jacksonville, FL 32225
Phone (904) 503-3565

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011

11570 Panama City Beach Pkwy
Ste 100
Panama City Beach, FL 32407
Phone (850) 230-4433

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 1

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1184468126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468570",
            "telephone_number": "904-853-0266",
            "fax_number": "904-485-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468570",
            "telephone_number": "904-998-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "BENJAMIN",
        "middle_name": "WALKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.