Jax Vision Care, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3718 Issued in FL

Legal business name

JAX VISION CARE, PA

Practice address

201 N Hogan St Ste 100
Jacksonville, FL 32202-4203

Phone

(904) 356-9431

Fax

(904) 356-2969

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Mary King, O.D.NPI 1629077649

Title

Optometrist

Phone

(904) 472-0084

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen M King, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1629077649
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Leigh Brown, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1508809559
  Medicare reassignment Care Compare group NPD
• Jeffrey David Brown, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1184699571
  Medicare reassignment Care Compare group NPD
• Elizabeth A Dow, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1114210192
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1609104637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HOGAN ST STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024203",
            "telephone_number": "904-356-9431",
            "fax_number": "904-356-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HOGAN ST STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024203",
            "telephone_number": "904-356-9431",
            "fax_number": "904-356-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184361",
            "country_code": "US",
            "telephone_number": "904-757-1495",
            "fax_number": "904-757-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAX VISION CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "904-472-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3718",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002039300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jax Patient Care (JaxCare)
• Jax Premier Health Center PLLC
• Jax Sleep Solutions LLC (Jeffrey B Schultz DDS)
• Jax Spine & Rehab PLLC
• Jax Surgical Assist LLC
• Jax Visiting Medical Providers LLC
• Jax's Family Care and Research Center, P.a.
• Jax's Family Care and Research Center, P.a.
• Jaxcare Transportation Services LLC
• Jaxmediride, LLC

• 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 Feb 27, 2025; 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.