FIRST COAST RETINA CENTER PA
NPI 1043209455
Ophthalmology in Jacksonville, FL

Q: What is First Coast Retina Center PA's NPI number?

The NPI number for First Coast Retina Center PA is 1043209455. It was assigned to this organization in the NPPES registry on October 18, 2005.

Q: What is First Coast Retina Center PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since October 18, 2005

8833 PERIMETER PARK BLVD, SUITE 203, JACKSONVILLE, FL 32216(904) 997-1100 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About First Coast Retina Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST RETINA CENTER PA (NPI 1043209455) is a healthcare organization registered as an ophthalmology in Jacksonville, Florida and active in the NPI registry since October 2005. The organization lists Kenneth Rappaport, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043209455

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameFIRST COAST RETINA CENTER PA

Location Address8833 PERIMETER PARK BLVD, SUITE 203Jacksonville, FL 32216-1109

Mailing Address8833 Perimeter Park Blvd, Suite 203Jacksonville, FL 32216-1109

Phone(904) 997-1100

Organization SubpartNo

Authorized OfficialKenneth RappaportCeo · (904) 997-1100

Enumeration DateOctober 18, 2005

Last NPPES UpdateJune 18, 2013

✔ NPI 1043209455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

8833 PERIMETER PARK BLVD, Jacksonville, FL 32216

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedK3229FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Coast Retina Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to First Coast Retina Center PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Rappaport, MD

Ophthalmology

NPI 1114916368

8833 PERIMETER PARK BLVD
Jacksonville, FL 32216

(904) 997-1100

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Coast Retina Center PA's NPI number?

The NPI number for First Coast Retina Center PA is 1043209455. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is First Coast Retina Center PA located?

First Coast Retina Center PA is located at 8833 Perimeter Park Blvd Suite 203, Jacksonville, FL 32216. The listed phone number is (904) 997-1100.

What is First Coast Retina Center PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is First Coast Retina Center PA enrolled in Medicare?

Yes. First Coast Retina Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Retina Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to First Coast Retina Center PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for First Coast Retina Center PA was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.