Individual provider Active NPI

Judith Flores-Guerra, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1265428239
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2948 Issued in FL
Practice address
6801 Roosevelt Blvd Ste 987
Jacksonville, FL 32212-1192
Phone
(305) 926-2991
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 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 OPC2948 FL Primary

Addresses

Primary practice location

6801 Roosevelt Blvd Ste 987
Jacksonville, FL 32212-1192

Mailing address

5472 Gordon CT
Orange Park, FL 32073-7235
Phone (305) 926-2991

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
I20040921000141 FL Practitioner - Optometry 7012985807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Ted Brink and Associates PAGroup PAC ID 6800936360, 12 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ted Brink and Associates PA Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Dr.Ted Brink & Associates Optometrist CurrentSince Aug 1, 2024 Accepting new patients
All Eyes on Me Vision Care, LLC Dba Dr. Judith Flores-Guerra Optometrist Current Accepting new patients
Abc Optometry Inc Optometrist PastSince Apr 2, 2009 Accepting new patients
Judith Flores Guerra OD PA Optometrist Past Accepting new patients
South Florida Eye Associates, PA Past Accepting new patients
South Florida Eye Associates, PA Past Accepting new patients

Locations

6801 Roosevelt Blvd
Ste 987
Jacksonville, FL 32212
Phone (305) 926-2991

4495 Roosevelt Blvd
Ste 101
Jacksonville, FL 32210
Phone (904) 384-3707

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

6801 Roosevelt Blvd
#987
Jacksonville, FL 32212
Phone (904) 661-4696

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

7800 SW 104th St
Pinecrest, FL 33156
Phone (305) 270-0199

Organizations & group practices 7

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1265428239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 GORDON CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320737235",
            "telephone_number": "305-926-2991",
            "fax_number": "305-704-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ROOSEVELT BLVD STE 987",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322121192",
            "telephone_number": "305-926-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-GUERRA",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.