Active NPI
Christine Elkhoury, O.D.
- Optometrist
- Jacksonville, FL
National Provider Identifier
1558778464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4917
- Practice address
- 9041 Southside Blvd
Ste 174
Jacksonville, FL 32256-5484 - Phone
- (904) 519-5768
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4917 | FL | Primary |
Addresses
Primary practice location
9041 Southside Blvd
Ste 174
Jacksonville, FL 32256-5484
Mailing address
9439 San Jose Blvd
Apt 186
Jacksonville, FL 32257-9233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4917 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine Elkhoury OD PA | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Jacksonville, FL
- NPI 1831998277
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1558778464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9439 SAN JOSE BLVD",
"address_2": "APT 186",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322579233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9041 SOUTHSIDE BLVD",
"address_2": "STE 174",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565484",
"telephone_number": "904-519-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHOURY",
"first_name": "CHRISTINE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4917",
"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 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.