Active NPI
Myeyedr Optometry of Florida, LLC
- Optometrist
- Ponte Vedra, FL
National Provider Identifier
1770434615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF FLORIDA, LLC
- Practice address
- 200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097 - Phone
- (904) 825-4525
- Fax
- (904) 825-4520
- 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 | NU | Primary |
Addresses
Primary practice location
200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097
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
- St Augustine, FL
- NPI 1679424519
-
- Optometrist
- Orlando, FL
- NPI 1689539017
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
-
- Optometrist
- Delray Beach, FL
- NPI 1740137959
-
- Optometrist
- Jacksonville, FL
- NPI 1760333603
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": "1770434615",
"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": "200 NOCATEE VILLAGE DR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320815097",
"telephone_number": "904-825-4525",
"fax_number": "904-825-4520"
}
],
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
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.