Admiral Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3703 Issued in FL

Legal business name

ADMIRAL EYE CARE INC

Practice address

2294 Mayport Rd Ste 24
Jacksonville, FL 32233-6336

Phone

(904) 742-7753

NPI assigned

Jun 24, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Comerford, O.D.NPI 1780783191

Title

President

Phone

(904) 742-7753

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Matthew Comerford, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1780783191
  NPD (past) Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1699180166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N ROSCOE BLVD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822144",
            "telephone_number": "904-595-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 MAYPORT RD STE 24",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322336336",
            "telephone_number": "904-742-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-742-7753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3703",
            "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 Oct 15, 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.