MEDICARE: DR. MICHAEL STUART NASON O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OPC002692	FL
2	152W00000X	Optometrist	OPC2692	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073515284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STUART NASON O.D.

Provider Business Mailing Address
First Line	:	4415 SIDEWINDER TRL
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-3250
Country	:	US
Telephone Number	:	561-951-7285
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 LAKESIDE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-3305
Country	:	US
Telephone Number	:	904-387-5704
Fax Number	:	904-387-5751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/01/2025

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