Castillo Muniz Eye Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC002849 Issued in FL

Legal business name

CASTILLO MUNIZ EYE ASSOCIATES INC

Practice address

4250 Philips Hwy
Jacksonville, FL 32207-6730

Phone

(904) 737-7377

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose A. Castillo, O.D.NPI 1568482628

Title

President

Phone

(305) 205-5955

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A. Castillo, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1568482628

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1295060697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 GRAND PINE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244435",
            "telephone_number": "305-205-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 PHILIPS HWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076730",
            "telephone_number": "904-737-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10991 San Jose Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322236600",
            "country_code": "US",
            "telephone_number": "904-260-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASTILLO MUNIZ EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620096600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Castelli Chiropractic Center, LLC
• Sebastian Thomas Castelli, D.C.
• Ramon Castello, M.D.
• Valjeanne Ross Caster, LMHC. MAC, MBA
• Liz Castillo Alvarez, RBT
• Carlos M Castillo, MD
• Jennifer Joy Castillo, P.T.
• John Benjamin Castillo, PT
• Jose A. Castillo, O.D.
• Kaitlin Castillo

• All providers in Jacksonville, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.