Individual provider Active NPI

Dea Opari

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1245075001
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6506 Issued in FL
Practice address
11406 San Jose Blvd Ste 1
Jacksonville, FL 32223-7953
Phone
(904) 578-1981
NPI assigned
Jun 25, 2024
Last updated
May 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 6506 FL Primary

Addresses

Primary practice location

11406 San Jose Blvd Ste 1
Jacksonville, FL 32223-7953

Mailing address

2826 Casa del Rio Ter
Jacksonville, FL 32257-5816

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
I20240802002074 FL Practitioner - Optometry 8123565512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Ted Brink and Associates PAGroup PAC ID 6800936360, 12 clinicians
St Johns Eye Associates PAGroup PAC ID 6406990605, 8 clinicians

Practice addresses (Care Compare)

11406 San Jose Blvd
Suite 1
Jacksonville, FL 32223-7953
Phone (904) 260-3839

161 Hampton Point Dr
Suite 3
Saint Augustine, FL 32092-3058
Phone (904) 287-9137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6506FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Johns Eye Associates PA Optometrist CurrentSince Aug 1, 2024 Accepting new patients
St Johns Eye Associates PA Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

2039 Hendricks Ave
Ste 213
Jacksonville, FL 32207
Phone (904) 622-0844

200 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 682-9094

150 Village Commons Dr
Ste A102
Saint Augustine, FL 32092
Phone (904) 530-9802

161 Hampton Point Dr
Ste 3
Saint Augustine, FL 32092
Phone (904) 204-3345

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1245075001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 CASA DEL RIO TER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11406 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237953",
            "telephone_number": "904-578-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARI",
        "first_name": "DEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.