Individual provider Active NPI

Christine Elkhoury, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1558778464
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4917 Issued in FL
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

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OPC4917FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.