Active NPI
Bella Vista Eyecare, LLC
- Optometrist
- Jacksonville, FL
National Provider Identifier
1972275782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BELLA VISTA EYECARE, LLC
- Practice address
- 6373 Youngerman Cir
Jacksonville, FL 32244-6609 - Phone
- (904) 573-1383
- Fax
- (904) 772-6343
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Nenetta Morreale Morgan, OD
- Title
- Owner/Optometrist
- Phone
- (386) 852-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
6373 Youngerman Cir
Jacksonville, FL 32244-6609
Mailing address
1492 Poplar Ridge Rd
Fleming Island, FL 32003-3212
Phone (386) 852-3600
Other names 1
- Bella Vista Eyecare
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jacksonville, FL
- NPI 1184058778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1972275782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1492 POPLAR RIDGE RD",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320033212",
"telephone_number": "386-852-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6373 YOUNGERMAN CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446609",
"telephone_number": "904-573-1383",
"fax_number": "904-772-6343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLA VISTA EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "NENETTA MORREALE",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "386-852-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bella Vista Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.