Harrelson Eye LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HARRELSON EYE LLC

Doing business as

ClearView Eye Care

Practice address

13245 Atlantic Blvd Ste 8
Jacksonville, FL 32225-7118

Phone

(904) 477-4379

Fax

(904) 647-7926

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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

Jay Richard Harrelson, ODNPI 1700235173

Title

Owner/Optometrist

Phone

(904) 477-4379

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ClearView Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Jay Richard Harrelson, O.D

  • Optometrist
  • Jacksonville, FL
  • NPI 1700235173
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1790393080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "190-447-7437",
            "fax_number": "904-647-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "904-477-4379",
            "fax_number": "904-647-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELSON EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "904-477-4379",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10114960",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearView Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karletta Harrell, APRN
• Lauren Michelle Harrell, ARNP
• Marcelle Genis Harrell, APRN
• Melanie Rose Harrell, PA-C
• Randell Glenn Harrell
• Jay Richard Harrelson, O.D
• Leeann Harridsleff
• Harrington Partners LLC (FirstCoast MD)
• Asionna Harrington-Killila
• Jessie Carson Harrington, CF-SLP

• 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 Jul 22, 2020; 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.