Individual provider Active NPI

Faiza Javed, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1285115659
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5826 Issued in FL
Practice address
10400 San Jose Blvd Ste 6
Jacksonville, FL 32257-6360
Phone
(904) 880-1818
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011242 IL
Optometrist 152W00000X OPC5826 FL Primary

Addresses

Primary practice location

10400 San Jose Blvd Ste 6
Jacksonville, FL 32257-6360

Mailing address

11005 Castlemain Cir E
Jacksonville, FL 32256-2894
Phone (331) 223-2817

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
I20200715003399 FL Practitioner - Optometry 5799109328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011242ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical FL PLLC Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Star Medical FL PLLC Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 7, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 7, 2021 Accepting new patients

Locations

7124 Beracasa Way
Boca Raton, FL 33433
Phone (561) 750-7744

10400 San Jose Blvd
Ste 6
Jacksonville, FL 32257
Phone (904) 880-1818

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

953 Lane Ave S
Jacksonville, FL 32205
Phone (904) 695-4447

3920 Bee Ridge Rd
Ste A-A
Sarasota, FL 34233
Phone (941) 867-7463

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

7501 Paragon Rd
Ste 201
Dayton, OH 45459

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1285115659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 CASTLEMAIN CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562894",
            "telephone_number": "331-223-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 SAN JOSE BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576360",
            "telephone_number": "904-880-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "FAIZA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011242",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.