NPIMap

Organization Active NPI

Grace B Dorado-Foster Doctor of Optometry Professional Association

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1043978281
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRACE B DORADO-FOSTER DOCTOR OF OPTOMETRY PROFESSIONAL ASSOCIATION
Practice address
4890 Big Island Dr Ste 1
Jacksonville, FL 32246-7490
Phone
(904) 379-1260
Fax
(904) 564-2646
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grace Dorado, OD
Title
Owner
Phone
(904) 379-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4890 Big Island Dr Ste 1
Jacksonville, FL 32246-7490

Mailing address

4890 Big Island Dr Ste 1
Jacksonville, FL 32246-7490
Phone (904) 379-1260

National Provider Directory

National Provider Directory

Locations

4890 Big Island Dr
Ste 1
Jacksonville, FL 32246
Phone (904) 379-1260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1043978281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 BIG ISLAND DR STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467490",
            "telephone_number": "904-379-1260",
            "fax_number": "904-564-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 BIG ISLAND DR STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467490",
            "telephone_number": "904-379-1260",
            "fax_number": "904-564-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE B DORADO-FOSTER DOCTOR OF OPTOMETRY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "DORADO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-379-1260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.