North Florida Vision Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4592 Issued in FL

Legal business name

NORTH FLORIDA VISION GROUP INC

Practice address

14866 Old Saint Augustine Rd Ste 110
Jacksonville, FL 32258-2611

Phone

(904) 379-5450

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Vorobeva, ODNPI 1821301136

Title

Optometrist

Phone

(904) 379-5450

Specialties & licenses 1

Addresses

Other names 1

• Trillium Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Alexandra G Vorobeva, O.D

  • Optometrist
  • Jacksonville, FL
  • NPI 1821301136
  Medicare reassignment Authorized official
• William Gebhard, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1710406525
  Medicare reassignment

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1467991950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14866 OLD SAINT AUGUSTINE RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD SAINT AUGUSTINE RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "VOROBEVA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "904-379-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trillium Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Florida Surgeons, PA
• North Florida Surgeons, PA
• North Florida Surgeons, PA
• North Florida Surgeons, PA
• North Florida Surgeons, PA
• North Jacksonville Opco LLC
• North Main Medical-Imeson Park,PA
• North Main Pharmacy
• North Point Community Residential Facility, Inc.
• North West Behaviorial

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.