Individual provider Active NPI

Nazreen A Esack, O.D.

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1902198377
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00627600 Issued in NJ
Practice address
485 Route 1 S
Building a
Iselin, NJ 08830-3009
Phone
(732) 750-0400
Fax
(732) 602-0749
NPI assigned
May 4, 2011
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00627600 NJ Primary

Addresses

Primary practice location

485 Route 1 S
Building a
Iselin, NJ 08830-3009

Mailing address

9365 Atlantic Blvd
Ste 2
Jacksonville, FL 32225-8218
Phone (904) 721-0704

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130002615 FL Practitioner - Optometry 8729258306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care PAGroup PAC ID 7012064405, 3 clinicians

Practice addresses (Care Compare)

9365 -2 Atlantic Blvd
Jacksonville, FL 32225-8203
Phone (904) 721-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 26, 2018 Accepting new patients
Family Vision Care PA Optometrist CurrentSince Dec 11, 2020 Accepting new patients
Vision Today PLLC Optometrist CurrentSince Dec 11, 2020 Accepting new patients
National Vision, Inc. 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

4972 Town Center Pkwy
Unit 307
Jacksonville, FL 32246
Phone (904) 337-1604

9365 Atlantic Blvd
Ste 2
Jacksonville, FL 32225
Phone (904) 721-0704

9365-2 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 721-0704

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

901 Blanding Blvd
Ste 4
Orange Park, FL 32065
Phone (904) 562-1160

Organizations & group practices 5

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1902198377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 ATLANTIC BLVD",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258218",
            "telephone_number": "904-721-0704",
            "fax_number": "904-721-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-602-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESACK",
        "first_name": "NAZREEN",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00627600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.