Jonathan T Nebb OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4357 Issued in FL

Legal business name

JONATHAN T NEBB OD PA

Practice address

13740 Beach Blvd
Jacksonville, FL 32224-6033

Phone

(904) 207-7077

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Nebb, O.D.

Title

President

Phone

(703) 447-1644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1538499314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9734 TAPESTRY PARK CIR",
            "address_2": "#405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322246033",
            "telephone_number": "904-207-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN T NEBB OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "NEBB",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-447-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmenska Joisil, PTA
• Howard Irving Jolles, M.D.
• Jennifer Schultz Jolley, CCC-SLP
• Sandra D Joly, OD
• Jonathan Badilla MD PA
• Kamryn Jonathan, DPT
• Shekelia Jones Johnson
• Jones Surgical Associates LLP
• Rekiah Leshawn Jones-Backey
• Sonya Jones-Green

• 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 Jun 3, 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.