NPIMap

Organization Active NPI

Family Vision Care PA

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1477582278
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4052 Issued in FL
Legal business name
FAMILY VISION CARE PA
Practice address
9365 Atlantic Blvd Ste 2
Jacksonville, FL 32225-8218
Phone
(904) 721-0704
Fax
(904) 721-0706
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Dr. James Lavance Powell III, O.D.NPI 1518104991
Title
President
Phone
(904) 625-2607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4052 FL Primary

Addresses

Primary practice location

9365 Atlantic Blvd Ste 2
Jacksonville, FL 32225-8218

Mailing address

9365 Atlantic Blvd Ste 2
Jacksonville, FL 32225-8218
Phone (904) 721-0704

Other practice location 1

4972 Town Center Pkwy Unit 307
Jacksonville, FL 32246-8596
Phone (904) 337-1604

Other names 1

  • Vision Today Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090422000566 FL Part B Supplier - Clinic/Group Practice 7012064405 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

9365-2 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 721-0704

4972 Town Center Pkwy
Unit 307
Jacksonville, FL 32246
Phone (904) 337-1604

4972 Town Center Pkwy
Unit 106
Jacksonville, FL 32246

Practitioners & affiliated clinicians

Practitioners 6

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1477582278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 ATLANTIC BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258218",
            "telephone_number": "904-721-0704",
            "fax_number": "904-721-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 ATLANTIC BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258218",
            "telephone_number": "904-721-0704",
            "fax_number": "904-721-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4972 Town Center Pkwy Unit 307",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322468596",
            "country_code": "US",
            "telephone_number": "904-337-1604",
            "fax_number": "904-872-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY VISION CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAVANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-625-2607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Today",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.