Jacksonville Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4263 Issued in FL

Legal business name

JACKSONVILLE EYECARE, INC.

Practice address

12620-3 Beach Blvd #212
Jacksonville, FL 32246-7130

Phone

(954) 816-1371

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Joseph Balski, O.D.NPI 1700085743

Title

President

Phone

(954) 816-1371

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Gerard Joseph Balski, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1700085743
  Medicare reassignment NPD Authorized official
• Andreea Mocanu, OD

  • Optometrist
  • Orange Park, FL
  • NPI 1891975140
  Medicare reassignment NPD
• Oksana Sova, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1821422197
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1760786602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620-3 BEACH BLVD #212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467130",
            "telephone_number": "954-816-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620-3 BEACH BLVD #212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467130",
            "telephone_number": "954-816-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BALSKI",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-816-1371",
        "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": "OPC 4294",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Endoscopy Centers LLC
• Jacksonville Endoscopy Centers LLC
• Jacksonville Ep PLLC
• Jacksonville ER & Hospital LLC
• Jacksonville Extended Care, LLC
• Jacksonville Facility Operations, LLC
• Jacksonville Family Dentistry at Southside, Inc
• Jacksonville Family Home Care LLC
• Jacksonville FL Opco LLC
• Jacksonville Florida North, PLLC

• 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 Nov 18, 2013; 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.