Harris, Wilcox & Donovan PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

HARRIS, WILCOX & DONOVAN PA

Doing business as

Clay Eye Physicians & Surgeons

Practice address

2 Shircliff Way
Suite 120
Jacksonville, FL 32204-4753

Phone

(904) 272-2020

Fax

(904) 272-5762

NPI assigned

Mar 13, 2014

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HARRIS, WILCOX & DONOVAN PAAs reported in NPPES

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

Authorized official

Name

Ms. Bobbie J Williams

Title

Billing Manager

Phone

(904) 272-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clay Eye Physicians & Surgeons Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons PA/Fleming Island Optical

  • Ophthalmology Physician
  • Orange Park, FL
  • NPI 1023120409

  4981776333

  Same PAC ID
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons, PA- Mandarin

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1346539988

  4981776333

  Same PAC ID
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons

  • Eyewear Supplier
  • Orange Park, FL
  • NPI 1568566024

  4981776333

  Same PAC ID
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians & Surgeons

  • Ophthalmology Physician
  • Middleburg, FL
  • NPI 1659963205

  4981776333

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Clay Eye Phys Surgeon4 organizations share this tax ID, including this one

Part of

Clay Eye Phys Surgeon

Other organizations with this tax ID 3

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

• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons PA/Fleming Island Optical

  • Ophthalmology Physician
  • Orange Park, FL
  • NPI 1023120409
  NPD tax ID
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons

  • Eyewear Supplier
  • Orange Park, FL
  • NPI 1568566024
  NPD tax ID
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians & Surgeons

  • Ophthalmology Physician
  • Middleburg, FL
  • NPI 1659963205
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Fleming Island Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Orange Park, FL
  • NPI 1457428005

  Member Of

  NPD member

Locations

Practitioners 1

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.

• John D Wilcox Jr., MD

  • Ophthalmology Physician
  • Orange Park, FL
  • NPI 1891750139
  NPD (past)

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1295151348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-272-2020",
            "fax_number": "904-272-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-272-2020",
            "fax_number": "904-272-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS, WILCOX & DONOVAN PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRIS, WILCOX & DONOVAN PA",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-272-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "604623",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB1273",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Eye Physicians & Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Derek Harris, CAA
• Tashenna Harris, ARNP
• Teresa L. Harris, SLP
• Troy A Harris, DPM
• Twana Harris, CD/PCD(DONA)
• William Harris
• Alexis Harrison
• Antonio Harrison
• Arian Sheree Harrison
• Barry Harrison, MD

• Ophthalmology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.