NPIMap

Organization Active NPI

Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1104341882
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY FIRST VISION CARE, PLLC
Practice address
4413 Town Center Pkwy Ste 207
Jacksonville, FL 32246-8570
Phone
(904) 998-9871
NPI assigned
Aug 3, 2017
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
William R Williams
Title
Coo
Phone
(904) 545-4465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

4413 Town Center Pkwy Ste 207
Jacksonville, FL 32246-8570

Mailing address

4680 Parkway Dr Ste 455
Mason, OH 45040-8199
Phone (513) 445-9064

Other practice location 1

9398-1 Arlington Expy
Jacksonville, FL 32225-8213
Phone (904) 503-3565

Other practice location 2

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250-5849
Phone (904) 280-0011

Other practice location 3

1911 Wells Rd Ste 6
Orange Park, FL 32073-2372
Phone (904) 215-9700

Other practice location 4

6419 W Newberry Rd Ste B3
Gainesville, FL 32605-6803
Phone (352) 331-6321

Other practice location 5

110 S Orlando Ave
Winter Park, FL 32789-3656
Phone (407) 571-9165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628002870 FL Part B Supplier - Clinic/Group Practice 9638425960 Receives reassigned benefits from 65 practitioners
Practice locations: Brandon, FL; Winter Park, FL; Panama City Beach, FL; Orange Park, FL; Jacksonville, FL; Gainesville, FL; Destin, FL

National Provider Directory

National Provider Directory
Tax ID family
Family First Vision Care PLLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9398-1 Arlington Expy
Jacksonville, FL 32225
Phone (904) 724-5653

11570 Panama City Beach Pkwy
Ste 100
Panama City Beach, FL 32407
Phone (850) 230-4433

4680 Parkway Dr
Ste 455
Mason, OH 45040

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1104341882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 PARKWAY DR STE 455",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408199",
            "telephone_number": "513-445-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468570",
            "telephone_number": "904-998-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9398-1 Arlington Expy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322258213",
            "country_code": "US",
            "telephone_number": "904-503-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "359 Marsh Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322505849",
            "country_code": "US",
            "telephone_number": "904-280-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Wells Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732372",
            "country_code": "US",
            "telephone_number": "904-215-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6419 W Newberry Rd Ste B3",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326056803",
            "country_code": "US",
            "telephone_number": "352-331-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Orlando Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893656",
            "country_code": "US",
            "telephone_number": "407-571-9165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-545-4465"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "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 Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.