Duval Eye Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DUVAL EYE ASSOCIATES PLLC

Practice address

961 Cesery Blvd
Jacksonville, FL 32211-5678

Phone

(904) 743-9955

Fax

(904) 743-2802

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Reardon, ODNPI 1831189646

Title

Optometrist

Phone

(904) 743-9955

Specialties & licenses 1

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.

• Patrick L Reardon, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1831189646
  Medicare reassignment Care Compare group NPD Authorized official
• John M Lennon Jr., OD

  • Optometrist
  • Palatka, FL
  • NPI 1104800697
  Medicare reassignment Care Compare group NPD
• Paul J Cone, O. D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1932117363
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1982298865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115678",
            "telephone_number": "904-743-9955",
            "fax_number": "904-743-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115678",
            "telephone_number": "904-743-9955",
            "fax_number": "904-743-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "904-743-9955",
        "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": []
}

• Duval County Public Schools
• Duval County Public Schools
• Duval County Public Schools
• Duval County Public Schools
• Duval County Schools
• Duval Medical Investors LLC (Life Care Center of Jacksonville)
• Duval Medical, P.a.
• Duval Rehabilitation LLC (Uf Health Rehabilitation Hospital - North)
• Duval Spine & Rehab, LLC
• Duval Vascular Center, LLC

• 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 Aug 7, 2024; 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.