Alexandra G Vorobeva, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4592 Issued in FL

Practice address

14866 Old Saint Augustine Rd Ste 110
Jacksonville, FL 32258-2611

Phone

(904) 379-5450

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Florida Vision Group Inc

  • Optometrist
  • Jacksonville, FL
  • NPI 1467991950
  Medicare reassignment Authorized official
• Optometry Vision Care PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1679013932
  NPD (past) Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1821301136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14866 OLD SAINT AUGUSTINE RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450",
            "fax_number": "904-372-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD SAINT AUGUSTINE RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOROBEVA",
        "first_name": "ALEXANDRA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene M Vontobel, A.R.N.P.
• Vop Anthem Lakes, LLC
• Shelby Victoria Vopper
• Aaditya Mahendra Vora, MD
• Helene Vorndran-Brown, LMHC
• Timothy Lavern Vorst, MS-C
• Camryn Voss
• Erin Kelly Voss, PA-C
• James Turner Vosseller, MD
• Samuel Votto, DDS

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.

Verify at the official NPI Registry.