Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Janessa Patel, OD

Individual provider Optometrist · NPI 1063165108

Dr. Janessa Patel, OD is an Optometry in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
5
Licensed in
FL, MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835
Phone: (904) 564-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6362 (FL)
Optometrist Taxonomy 152W00000X · Licence 5529 (MA)

Record details

NPI number1063165108
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 29, 2022
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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