Individual provider Active NPI

David Falden, OD

  • Optometrist
  • Ponte Vedra, FL
National Provider Identifier
1952593527
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4219 Issued in FL
Practice address
200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097
Phone
(904) 825-4525
Fax
(904) 825-4520
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4219 FL Primary

Addresses

Primary practice location

200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20090219000539 FL Practitioner - Optometry 0749345098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

4788 Hodges Blvd
Suite 205
Jacksonville, FL 32224-7223
Phone (904) 992-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4219FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Aug 3, 2025 Accepting new patients
Star Medical FL PLLC Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Regency Eye Care LLC Optometrist PastSince Oct 1, 2009 Accepting new patients
Vision Today PLLC Optometrist Past Accepting new patients
Family Vision Care PA Optometrist PastSince Dec 11, 2020 Accepting new patients

Locations

7124 Beracasa Way
Boca Raton, FL 33433
Phone (561) 750-7744

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

14964 Max Leggett Pkwy
Ste 106
Jacksonville, FL 32218
Phone (904) 647-5400

4871 Town Center Pkwy
Ste 5
Jacksonville, FL 32246
Phone (904) 686-1386

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

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

3920 Bee Ridge Rd
Ste A-A
Sarasota, FL 34233
Phone (941) 867-7463

7501 Paragon Rd
Ste 201
Dayton, OH 45459

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1952593527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NOCATEE VILLAGE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815097",
            "telephone_number": "904-825-4525",
            "fax_number": "904-825-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDEN",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.