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SOUTEL OPTICAL NPI 1457526147


NPI Information

NPI: 1457526147
Provider Name: SOUTEL OPTICAL
Classification: Optometrist - 152WX0102X
Entity Type: Organization

Specialization: Occupational Vision

Address:
5353 SOUTEL DR SUITE B
JACKSONVILLE, FL
ZIP 32219
Phone: (904) 766-0660
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SOUTEL OPTICAL is an occupational vision optometrist in Jacksonville, FL. The provider is optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. SOUTEL OPTICAL NPI is 1457526147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5353 SOUTEL DR SUITE B
JACKSONVILLE, FL
ZIP 32219-492
Phone: (904) 766-0660
Fax: (904) 766-8338

The provider's authorized official is Gary Otega Williams .
The authorized official title is Owner and has the following contact phone number (904) 766-0660.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WX0102XOptometristOccupational VisionOB2437FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120669MEDICARE UPINFLORIDA

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: 4/28/2024

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