Individual provider Active NPI

Manuel Ramon Zambrano Jr., O.D.

  • Low Vision Rehabilitation Optometrist
  • Jacksonville, FL
National Provider Identifier
1619943370
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OPC-6866 Issued in FL
Practice address
13221 City Station Dr Ste 153
Jacksonville, FL 32218-7251
Phone
(904) 696-8887
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10795 TX
Corneal and Contact Management Optometrist 152WC0802X 781 NV
Corneal and Contact Management Optometrist 152WC0802X 1439 AZ
Corneal and Contact Management Optometrist 152WC0802X 12504 TPA CA
Low Vision Rehabilitation Optometrist 152WL0500X OPC-6866 FL Primary

Addresses

Primary practice location

13221 City Station Dr Ste 153
Jacksonville, FL 32218-7251

Mailing address

739 Duart Dr
Orange Park, FL 32073-8404
Phone (850) 361-9650

Other identifiers 5

IdentifierTypeStateIssuer
OPC-6866OtherFLLICENSE
1439OtherAZOPTOMETRY LICENSE
12504TOtherCAOPTOMETRY LICENSE
10795OtherTXOPTOMETRY LICENSE
781OtherNVNV STATE BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140716002700 NV Practitioner - Optometry 8729268313 Reassigns benefits to 2 organizations
I20230106001364 TX Practitioner - Optometry 8729268313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10795TXMDOptometrist
12504 TPACAMDCorneal and Contact Management Optometrist
781NVMDCorneal and Contact Management Optometrist
OPC-6866FLMDLow Vision Rehabilitation Optometrist
1439AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System CurrentSince Dec 19, 2022 Accepting new patients
David I Malitz MD., PC CurrentSince Apr 27, 2014 Accepting new patients
University of Houston CurrentSince Dec 19, 2022 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020

4675 W Flamingo Rd
Ste 1
Las Vegas, NV 89103
Phone (702) 362-3900

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

Organizations & group practices 6

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1619943370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 DUART DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320738404",
            "telephone_number": "850-361-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 CITY STATION DR STE 153",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187251",
            "telephone_number": "904-696-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "MANUEL",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10795",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NV",
            "license": "781",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "1439",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12504 TPA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC-6866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPC-6866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "1439",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "12504T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "10795",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BOARD OF OPTOMETRY",
            "identifier": "781",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.