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ST JOHNS EYE ASSOCIATES AT NOCATEE
NPI 1629326343
Optometrist in Ponte Vedra, FL

Active since August 28, 2012CLIA 10D2099304 · Waiver
200 NOCATEE VILLAGE DRIVE, PONTE VEDRA, FL 32081(904) 825-4525(904) 825-4520 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Johns Eye Associates At Nocatee NPPES

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

ST JOHNS EYE ASSOCIATES AT NOCATEE (NPI 1629326343) is a healthcare organization registered as an optometrist in Ponte Vedra, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Donna Marie Backs, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1629326343
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameST JOHNS EYE ASSOCIATES AT NOCATEE
Location Address200 NOCATEE VILLAGE DRIVEPonte Vedra, FL 32081
Mailing Address100 Marketside AvenuePonte Vedra, FL 32081-0582 · (904) 825-4525 · Fax (904) 825-4520
Phone(904) 825-4525
Fax(904) 825-4520
Organization SubpartNo
Authorized OfficialDonna Marie BacksCredentialing · (805) 433-2901
Enumeration DateAugust 28, 2012
Last NPPES UpdateAugust 19, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1629326343 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 3241
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.
200 NOCATEE VILLAGE DRIVE, Ponte Vedra, FL 32081
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2099304

St Johns Eye Associates PA · Ponte Vedra, FL
Active · expires Jul 23, 2027
CLIA Number10D2099304
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorSharokh Kapadia
Laboratory Phone(904) 825-4525
Laboratory LocationSt Johns Eye Associates PA200 Nocatee Village Drive, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St Johns Eye Associates At Nocatee's NPI number?

The NPI number for St Johns Eye Associates At Nocatee is 1629326343. It was assigned to this organization in the NPPES registry on August 28, 2012.

Where is St Johns Eye Associates At Nocatee located?

St Johns Eye Associates At Nocatee is located at 200 Nocatee Village Drive, Ponte Vedra, FL 32081. The listed phone number is (904) 825-4525.

What is St Johns Eye Associates At Nocatee's specialty?

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

Does St Johns Eye Associates At Nocatee hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2099304) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Johns Eye Associates At Nocatee accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list St Johns Eye Associates At Nocatee 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 St Johns Eye Associates At Nocatee was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.