NPIMap

Organization Active NPI

Designer Eyewear, Inc

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1184638934
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DESIGNER EYEWEAR, INC
Practice address
5205 Normandy Blvd
Suite #3
Jacksonville, FL 32205-4841
Phone
(904) 781-7717
Fax
(904) 781-6367
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Edward F Akel, O.D.
Title
Optometrist/Owner
Phone
(904) 781-7717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X

Addresses

Primary practice location

5205 Normandy Blvd
Suite #3
Jacksonville, FL 32205-4841

Mailing address

5205 Normandy Blvd
Suite #3
Jacksonville, FL 32205-4841
Phone (904) 781-7717

Other identifiers 1

IdentifierTypeStateIssuer
620423600MedicaidFL

National Provider Directory

National Provider Directory

Locations

5205 Normandy Blvd
Ste 3
Jacksonville, FL 32205
Phone (904) 781-7717

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1184638934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 NORMANDY BLVD",
            "address_2": "SUITE #3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054841",
            "telephone_number": "904-781-7717",
            "fax_number": "904-781-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 NORMANDY BLVD",
            "address_2": "SUITE #3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054841",
            "telephone_number": "904-781-7717",
            "fax_number": "904-781-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "AKEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "904-781-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620423600",
            "state": "FL"
        }
    ],
    "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 Oct 19, 2011; 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.