MANDARIN EYECARE ASSOC INC NPI 1134249410

NPI Information

  • NPI: 1134249410
  • Provider Name: MANDARIN EYECARE ASSOC, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: MANDARIN EYECARE
  • Address: 11111 SAN JOSE BLVD
    SUITE 44
    JACKSONVILLE, FL
    ZIP 32223
  • Phone: (904) 292-3975

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NPI Details

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentFL3574FLORIDAYes

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
11284350001MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 3/30/2025

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