Active NPI
Flora Chen Poveda, O.D.
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC003643
- Practice address
- 11111 San Jose Blvd Ste 44
Jacksonville, FL 32223-7274 - Phone
- (904) 292-3976
- Fax
- (904) 292-5322
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC003643 | FL | Primary |
Addresses
Primary practice location
11111 San Jose Blvd Ste 44
Jacksonville, FL 32223-7274
Mailing address
11111 San Jose Blvd Ste 44
Jacksonville, FL 32223-7274
Phone (904) 292-3976
Other names 1
- Dr. Flora Chen
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC003643 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary M Futch OD PA | Optometrist | Current | Accepting new patients |
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| Mandarin Eyecare Assoc, Inc | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Samuel Hathy III,O.D. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
13534 Beach Blvd
#3
Jacksonville, FL 32224
Phone (904) 383-3400
14021 Lunar Dr
Unit 1
Jacksonville, FL 32218
Phone (904) 351-0057
31 S 6th St
Macclenny, FL 32063
Phone (904) 259-6259
2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937
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.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optometrist
- Macclenny, FL
- NPI 1508122854
-
- Customized Equipment (DME)
- Jacksonville, FL
- NPI 1134249410
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
-
- Eyewear Supplier
- Jacksonville, FL
- NPI 1801191960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1770625899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 SAN JOSE BLVD STE 44",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322237274",
"telephone_number": "904-292-3976",
"fax_number": "904-292-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 SAN JOSE BLVD STE 44",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322237274",
"telephone_number": "904-292-3976",
"fax_number": "904-292-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POVEDA",
"first_name": "FLORA",
"middle_name": "CHEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC003643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FLORA",
"last_name": "CHEN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 10, 2012; 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.