Optometry Vision Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4592 Issued in FL

Legal business name

OPTOMETRY VISION CARE PLLC

Practice address

14866 Old St. Augustine Rd Unit 110
Jacksonville, FL 32258

Phone

(904) 477-8469

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Vorobeva, O.D.NPI 1821301136

Title

President/Optometrist

Phone

(904) 477-8469

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra G Vorobeva, O.D

  • Optometrist
  • Jacksonville, FL
  • NPI 1821301136
  NPD (past) Authorized official
• William Gebhard, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1710406525
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1679013932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 TURNBRIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562336",
            "telephone_number": "904-477-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD ST. AUGUSTINE RD UNIT 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "904-477-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "VOROBEVA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "904-477-8469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 6, 2017; 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.