Individual provider Active NPI

Natasha Krzyanowski, O.D.

  • Optometrist
  • Neptune Beach, FL
National Provider Identifier
1265872246
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4873 Issued in FL
Practice address
750 3Rd St
Neptune Beach, FL 32266-5083
Phone
(904) 564-2020
Fax
(904) 518-3297
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 OPC4873 FL Primary

Addresses

Primary practice location

750 3Rd St
Neptune Beach, FL 32266-5083

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725

Other practice location 1

11945 San Jose Blvd Ste 102
Jacksonville, FL 32223-1627
Phone (904) 564-2020

Other practice location 2

11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835
Phone (904) 564-2020

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
I20140925002180 FL Practitioner - Optometry 6507086550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

750 3Rd St
Neptune Beach, FL 32266-5083
Phone (904) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
97.49
Improvement activities
40
Cost
67.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4873FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank W. Bowden, III, MD, Facs, PA CurrentSince Jul 28, 2014 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 6, 2025 Accepting new patients
Frank W Bowden III MD Facs PA Optometrist CurrentSince Jul 28, 2014 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 6, 2025 Accepting new patients

Locations

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

12341 Yellow Bluff Rd
Ste 4
Jacksonville, FL 32226
Phone (904) 296-0098

7205 Bentley Rd
Jacksonville, FL 32256
Phone (904) 296-0098

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

750 3rd St
Neptune Beach, FL 32266
Phone (904) 564-2020

206 Ashourian Ave
Ste 215
St Augustine, FL 32092
Phone (904) 296-0098

Interoperability endpoints

  • Direct secure messaging: natasha.krzyanowski.1@9109.direct.athenahealth.com
  • Direct secure messaging: nkrzyanowski@directaddress.net

Organizations & group practices 4

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1265872246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725",
            "fax_number": "904-396-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 3RD ST",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665083",
            "telephone_number": "904-564-2020",
            "fax_number": "904-518-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11945 San Jose Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231627",
            "country_code": "US",
            "telephone_number": "904-564-2020",
            "fax_number": "904-683-3934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11512 Lake Mead Ave Unit 534",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565835",
            "country_code": "US",
            "telephone_number": "904-564-2020",
            "fax_number": "904-683-3934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZYANOWSKI",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

Verify at the official NPI Registry.