Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALI TABATABAI
NPI 1619169356
Optometrist in Jacksonville, FL

Q: What is Ali Tabatabai's NPI number?

The NPI number for Ali Tabatabai is 1619169356. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Q: What is Ali Tabatabai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ali Tabatabai was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since August 16, 2007PECOS Enrolled

4413 TOWN CENTER PKWY, SUITE 207, JACKSONVILLE, FL 32246(904) 998-9871 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ali Tabatabai NPPES

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

ALI TABATABAI (NPI 1619169356) is an individual optometrist in Jacksonville, Florida, licensed in Florida (OPC 4245) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619169356

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameALI TABATABAI

Location Address4413 TOWN CENTER PKWY, SUITE 207Jacksonville, FL 32246-8568

Mailing Address4413 Town Center Pkwy, Suite 207Jacksonville, FL 32246-8568

Phone(904) 998-9871

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 16, 2007

Last NPPES UpdateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1619169356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC 4245

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4413 TOWN CENTER PKWY, Jacksonville, FL 32246

Open in Google Maps ↗

Secondary Practice Locations 6

Location 19398-1 Arlington ExpyJacksonville, FL 32225-8213 · Phone (904) 724-9210

Location 21929A W Brandon BlvdBrandon, FL 33511-4813 · Phone (813) 681-8880

Location 31911 Wells RdOrange Park, FL 32073-1702 · Phone (904) 215-9700

Location 46419 W Newberry Rd Ste B3Gainesville, FL 32605-6803 · Phone (352) 331-6321

Location 5359 Marsh Landing PkwyJacksonville Beach, FL 32250-5849 · Phone (904) 280-0801

Location 6110 S Orlando AveWinter Park, FL 32789-3600 · Phone (407) 571-9165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali Tabatabai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658411046

PECOS Enrollment IDI20091215000644

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ali Tabatabai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family First Vision Care, PLLC

0.1 mi

Optometrist

4413 TOWN CENTER PKWY STE 207
Jacksonville, FL 32246

Reassigned Medicare billing, Florida enrollment
67 clinicians in this Medicare group

NPI 1104341882 (904) 998-9871

Fleming Island Vision Center, Inc.

1,601 mi

Optometrist

1524 COUNTY ROAD 220 STE 5
Fleming Island, FL 32003

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1245482710 (904) 637-2000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

84 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST FLORIDA EYE CARE ADDOCIATES

Optometrist

4413 TOWN CENTER PKWY, SUITE 207
JACKSONVILLE, FL 32246

Duval County (904) 998-9822

PUBLIX SUPER MARKETS INC

Pharmacy (Community/Retail Pharmacy)

4413 TOWN CENTER PKWY, STE 100
JACKSONVILLE, FL 32246

Duval County (904) 564-3790

JON-KEYTH CRAIG GODWIN O.D.

Student in an Organized Health Care Education/Training Program

4413 TOWN CENTER PKWY
JACKSONVILLE, FL 32246

Duval County (904) 998-9822

DR. TED BRINK & ASSOCIATES

Optometrist

4413 TOWN CENTER PKWY
JACKSONVILLE, FL 32246

Duval County (904) 998-9871

DR. ADAM DANIEL PRINCIPE PHARMD

Pharmacist

4413 TOWN CENTER PKWY, SUITE 100
JACKSONVILLE, FL 32246

Duval County (904) 564-3790

MELANIE WILLIAMS PHARMD

Pharmacist

4413 TOWN CENTER PKWY, SUITE 100
JACKSONVILLE, FL 32246

Duval County (904) 564-3632

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 Ali Tabatabai's NPI number?

The NPI number for Ali Tabatabai is 1619169356. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Ali Tabatabai located?

Ali Tabatabai practices at 4413 Town Center Pkwy Suite 207, Jacksonville, FL 32246. The listed phone number is (904) 998-9871.

What is Ali Tabatabai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ali Tabatabai enrolled in Medicare?

Yes. Ali Tabatabai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ali Tabatabai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Tabatabai reassigns Medicare benefits to 2 organizations: Family First Vision Care, PLLC (Jacksonville, FL) and Fleming Island Vision Center, Inc. (Fleming Island, FL). Each 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 Ali Tabatabai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Tabatabai accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Ali Tabatabai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Tabatabai was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.