Individual provider Active NPI

Zachary Boeskool, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1831539105
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6627 Issued in FL
Practice address
3 Shircliff Way Ste 134
Jacksonville, FL 32204-4785
Phone
(904) 296-0098
NPI assigned
Jul 1, 2013
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004774 MI
Optometrist 152W00000X OPC6627 FL Primary
Optometrist 152W00000X OPT003146 GA

Addresses

Primary practice location

3 Shircliff Way Ste 134
Jacksonville, FL 32204-4785

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

1909 Beach Blvd Ste 101
Jacksonville Beach, FL 32250-2643
Phone (941) 792-2832

Other practice location 2

206 Ashourian Ave Ste 215
St Augustine, FL 32092-5107
Phone (904) 296-0098

Other practice location 3

7205 Bentley Rd
Jacksonville, FL 32256-7565
Phone (904) 296-0098

Other practice location 4

12341 Yellow Bluff Rd Ste 4
Jacksonville, FL 32226-2014
Phone (904) 296-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190513001446 GA Practitioner - Optometry 7113157991 Reassigns benefits to 1 organization
I20250710000120 FL Practitioner - Optometry 7113157991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

206 Ashourian Ave
Suite 215
St Augustine, FL 32092-5107
Phone (904) 296-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6627FLMDOptometrist
OPT003146GAMDOptometrist
4901004774MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 29, 2019 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 29, 2019 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Aug 15, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Eye Associates of Manatee LLP CurrentSince Aug 15, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

12341 Yellow Bluff Rd
Jacksonville, FL 32226
Phone (904) 225-2779

12341 Yellow Bluff Rd
Ste 4
Jacksonville, FL 32226
Phone (904) 296-0098

3 Shircliff Way
Ste 134
Jacksonville, FL 32204
Phone (904) 296-0098

7205 Bentley Rd
Jacksonville, FL 32256
Phone (904) 296-0098

1909 Beach Blvd
Ste 101
Jax Bch, FL 32250
Phone (904) 247-5575

206 Ashourian Ave
Ste 215
St Augustine, FL 32092
Phone (904) 296-0098

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

2003 Commerce Dr
Ste 40
Kingsland, GA 31548

2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: zachary.boeskool.p1@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 7

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1831539105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044785",
            "telephone_number": "904-296-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502643",
            "country_code": "US",
            "telephone_number": "941-792-2832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Ashourian Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320925107",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 Bentley Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567565",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12341 Yellow Bluff Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322262014",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESKOOL",
        "first_name": "ZACHARY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004774",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6627",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.