Active NPI
Myeyedr Optometry of Florida, LLC
- Optometrist
- St Augustine, FL
National Provider Identifier
1679424519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF FLORIDA, LLC
- Practice address
- 150 Village Commons Dr Ste 102
St Augustine, FL 32092-4548 - Phone
- (904) 530-9802
- Fax
- (904) 530-9809
- NPI assigned
- Feb 6, 2026
- Last updated
- Feb 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (785) 492-5871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
150 Village Commons Dr Ste 102
St Augustine, FL 32092-4548
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150603002802 | FL | Part B Supplier - Clinic/Group Practice | 0143541037 |
Receives reassigned benefits from 306 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Delray Beach, FL
- NPI 1568319770
-
- Optometrist
- Boca Raton, FL
- NPI 1649127853
-
- Optometrist
- Orlando, FL
- NPI 1689539017
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- St Augustine, FL
- NPI 1538042767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1679424519",
"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": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "785-492-5871"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
- Kasandra Leigh Myers-Bell, PT, DPT
- Kaitlyn Elizabeth Myers
- Kylee Myers
- Roger Lee Myers, D.M.D.
- Myeyedr Optometry of Florida, LLC (MyEyeDr.)
- Myeyedr Optometry of Florida, LLC
- Myeyedr. Optometry of Florida, LLC (MyEyeDr.)
- Sheyna Myntti, DPT
- N.F.L. Center for Oto-HNS Facial Plastic Surgery P.a. (North Florida Center for Otolaryngology)
- Ibrahim Zaroug Nabous, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.