Active NPI
Edward Fred Akel, OD
- Optometrist
- Jacksonville, FL
National Provider Identifier
1811962004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1616
- Practice address
- 5205 Normandy Blvd
Suite 3
Jacksonville, FL 32205-4841 - Phone
- (904) 781-7717
- Fax
- (904) 781-6367
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1616 | FL | Primary |
Addresses
Primary practice location
5205 Normandy Blvd
Suite 3
Jacksonville, FL 32205-4841
Mailing address
5205 Normandy Blvd
Suite 3
Jacksonville, FL 32205-4841
Phone (904) 781-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1811962004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 NORMANDY BLVD",
"address_2": "SUITE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322054841",
"telephone_number": "904-781-7717",
"fax_number": "904-781-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 NORMANDY BLVD",
"address_2": "SUITE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322054841",
"telephone_number": "904-781-7717",
"fax_number": "904-781-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKEL",
"first_name": "EDWARD",
"middle_name": "FRED",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.