Individual
DR. MICHAEL STUART NASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4225 LAKESIDE DR, JACKSONVILLE, FL 32210-3305
(904) 387-5704
(904) 387-5751
Mailing address
4415 SIDEWINDER TRL, MIDDLEBURG, FL 32068-3250
(561) 951-7285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2692
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC002692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620019200
—
FL
Enumeration date
06/01/2005
Last updated
04/01/2025
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