First Coast Eye Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3445 Issued in FL

Legal business name

FIRST COAST EYE ASSOCIATES, PA

Practice address

11900 Atlantic Blvd
Jacksonville, FL 32225-2920

Phone

(904) 996-0200

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J Domingo, O.D.NPI 1922082882

Title

President

Phone

(904) 996-0200

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Patrick J Domingo, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1922082882
  Authorized official Same address or phone
• Cindy Marie Couzens, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1063534576
  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1417269549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 CIMARRONE BLVD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592186",
            "telephone_number": "904-996-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252920",
            "telephone_number": "904-996-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-996-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3445",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Counseling and Life Coaching, Inc.
• First Coast Counseling and Recovery
• First Coast Dental Center, PLLC
• First Coast Dermatology P a
• First Coast Diabetes Institute, LLC
• First Coast Eyewear Inc
• First Coast Family Medicine PA
• First Coast Foot & Ankle Clinic Inc
• First Coast FS, LLC
• First Coast Health Ventures, LLC (River City Rehab Center)

• 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 Jul 6, 2010; 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.