Active NPI
Manuel Ramon Zambrano Jr., O.D.
- Low Vision Rehabilitation Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- OPC-6866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC-6866 | Other | FL | LICENSE |
| 1439 | Other | AZ | OPTOMETRY LICENSE |
| 12504T | Other | CA | OPTOMETRY LICENSE |
| 10795 | Other | TX | OPTOMETRY LICENSE |
| 781 | Other | NV | NV STATE BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10795 | TX | MD | Optometrist |
| 12504 TPA | CA | MD | Corneal and Contact Management Optometrist |
| 781 | NV | MD | Corneal and Contact Management Optometrist |
| OPC-6866 | FL | MD | Low Vision Rehabilitation Optometrist |
| 1439 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Houston System | Current | Accepting new patients | |
| David I Malitz MD., PC | Current | Accepting new patients | |
| University of Houston | Current | 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.
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1568439784
-
- Optometrist
- Houston, TX
- NPI 1861493140
-
- Optometrist
- Las Vegas, NV
- NPI 1609992205
-
- Community Health Worker
- Houston, TX
- NPI 1366081622
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1447371430
-
- Optician
- Jacksonville, FL
- NPI 1932472362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.