Gina Kubesh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6785 Issued in FL

Practice address

150 Village Commons Dr Ste 102
St Augustine, FL 32092-4548

Phone

(904) 530-9802

Fax

(904) 530-9809

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Johns Eye Associates PAGroup PAC ID 6406990605, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Johns Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1710185798

  FL, Optometrist

  Medicare reassignment Care Compare group NPD
• St Johns Eye Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1609502178
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Perry, FL
  • NPI 1437537529
  NPD (past)
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • St Augustine, FL
  • NPI 1679424519
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1538042767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VILLAGE COMMONS DR STE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320924548",
            "telephone_number": "904-530-9802",
            "fax_number": "904-530-9809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Hendricks Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073386",
            "country_code": "US",
            "telephone_number": "904-560-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Hampton Point Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320923058",
            "country_code": "US",
            "telephone_number": "904-204-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Nocatee Village Dr",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320815097",
            "country_code": "US",
            "telephone_number": "904-682-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBESH",
        "first_name": "GINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle A Kresge, LMT
• Sean Kristopher Kreymborg, PHARMD
• Lothar Krueger, MD
• Kasaundra Leigh Kruer, PSYD
• Laura Kruger
• Ashfaq Latif Kudia, MD
• Ramsha A. Kudia, M.D.
• Sydney Kues
• Kathryn Kunkler, RBT
• Michele Lorane Kuranz, MA

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.