CW Vision Optical, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0001462 Issued in FL

Legal business name

CW VISION OPTICAL, INC.

Practice address

463646 S.R. 200 A1A
Suite 12
Yulee, FL 32097-0303

Phone

(904) 849-7431

Fax

(904) 849-7436

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James D. Chamberlain, O.D.NPI 1225230766

Title

President

Phone

(904) 849-7431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• James Daniel Chamberlain, O.D.

  • Optometrist
  • Yulee, FL
  • NPI 1225230766
  NPD (past) Authorized official

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1124260401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463646 SR 200 A1A",
            "address_2": "SUITE 12",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-849-7431",
            "fax_number": "904-849-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463646 S.R. 200 A1A",
            "address_2": "SUITE 12",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970303",
            "telephone_number": "904-849-7431",
            "fax_number": "904-849-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW VISION OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-849-7431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0001462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620513501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Yulee, FL
• Providers in Yulee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.