Individual provider Active NPI

Oksana Sova, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1821422197
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4814 Issued in FL
Practice address
4712 River City Dr Ste 107
Jacksonville, FL 32246-7440
Phone
(904) 580-2832
NPI assigned
Aug 22, 2013
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4814 FL Primary

Addresses

Primary practice location

4712 River City Dr Ste 107
Jacksonville, FL 32246-7440

Mailing address

7500 Centurion Pkwy
Ste 100
Jacksonville, FL 32256-0517
Phone (904) 686-1386

Other practice location 1

880 A1A N
Suite 13
Ponte Vedra Beach, FL 32082-3220
Phone (904) 686-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Eye Care LLC Optometrist CurrentSince Aug 23, 2013 Accepting new patients
Jacksonville Eyecare, Inc. Optometrist PastSince Oct 20, 2019 Accepting new patients

Locations

9501 Arlington Expy
#340E
Jacksonville, FL 32225
Phone (904) 724-7707

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1821422197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CENTURION PKWY",
            "address_2": "STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560517",
            "telephone_number": "904-686-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 RIVER CITY DR STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467440",
            "telephone_number": "904-580-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 A1A N",
            "address_2": "Suite 13",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320823220",
            "country_code": "US",
            "telephone_number": "904-686-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOVA",
        "first_name": "OKSANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4814",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.