Adele Debra Paul, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2093 Issued in FL

Practice address

13227 City Square Dr
Jacksonville, FL 32218-7218

Phone

(904) 696-1433

Fax

(904) 751-5807

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River City Vision Center PAGroup PAC ID 8820135353, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul Vision Care LLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1053570846
  Medicare reassignment NPD Authorized official
• River City Vision Center PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1649504804
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1245266428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13227 CITY SQUARE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187218",
            "telephone_number": "904-696-1433",
            "fax_number": "904-751-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13227 CITY SQUARE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187218",
            "telephone_number": "904-696-1433",
            "fax_number": "904-751-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ADELE",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "650126036",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086912100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Joica Paul Michel, APRN
• Paul Napier Behavioral Consultation Services - Doctors Lake, LLC
• Paul Napier Behavioral Consultation Services LLC
• Paul V Jones, Inc.
• Paul Vision Care LLC
• Christi Burnett Paul, ARNP
• Janeen H Paul, MD
• Julia Peters Paul
• Marjorie Paul
• Maryse Paul

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.