NPIMap

Organization Active NPI

Comerford Optometry Inc

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1508066333
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3703 Issued in FL
Legal business name
COMERFORD OPTOMETRY INC
Practice address
4901 Gate Pkwy
Jacksonville, FL 32246-4405
Phone
(904) 564-9511
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Matthew ComerfordNPI 1780783191
Title
President
Phone
(904) 564-9511

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 OPC3703 FL Primary

Addresses

Primary practice location

4901 Gate Pkwy
Jacksonville, FL 32246-4405

Mailing address

360 Roscoe Blvd N
Ponte Vedra Beach, FL 32082-2144
Phone (904) 543-0881

National Provider Directory

National Provider Directory

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1508066333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROSCOE BLVD N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822144",
            "telephone_number": "904-543-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GATE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464405",
            "telephone_number": "904-564-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMERFORD OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-564-9511",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3703",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 2007; 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.