MANDARIN EYECARE ASSOC INC NPI 1134249410

NPI Information

NPI: 1134249410
Provider Name: MANDARIN EYECARE ASSOC, INC

Doing Business As: MANDARIN EYECARE

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
11111 SAN JOSE BLVD
SUITE 44
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 292-3975
Get Directions

MANDARIN EYECARE ASSOC, INC is a customized equipment durable medical equipment medical supplies in Jacksonville, FL. MANDARIN EYECARE ASSOC, INC NPI is 1134249410. The provider is registered as an organization entity type.
The provider Is Doing Business As Mandarin Eyecare.

The provider's business location address is:

11111 SAN JOSE BLVD
SUITE 44
JACKSONVILLE, FL
ZIP 32223-946
Phone: (904) 292-3975
Fax: (904) 292-5322

The provider's authorized official is Gary Alan Hathy .
The authorized official title is Owner and has the following contact phone number (904) 292-3975.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 2/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	FL3574	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1284350001	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »