Individual provider Active NPI

Valentina Zhukova

  • Optician
  • Bunnell, FL
National Provider Identifier
1992646152
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO6891 Issued in FL
Practice address
4601 E Moody Blvd Ste B8
Bunnell, FL 32110-8799
Phone
(386) 500-2019
NPI assigned
Apr 2, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO6891FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Glasses, Inc. Optician PastSince Jun 9, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO6891 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4601 E Moody Blvd Ste B8
Bunnell, FL 32110-8799

Mailing address

4601 E Moody Blvd Ste B8
Bunnell, FL 32110-8799
Phone (386) 500-2019

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2026.

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1992646152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E MOODY BLVD STE B8",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321108799",
            "telephone_number": "386-500-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E MOODY BLVD STE B8",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321108799",
            "telephone_number": "386-500-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUKOVA",
        "first_name": "VALENTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.