HARRIS WILCOX AND DONOVAN PA (NPI# 1568566024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568566024 |
| Entity Type | Organization |
| Organization Name | HARRIS WILCOX AND DONOVAN PA |
| Other Organization Name | CLAY EYE PHYSICIANS AND SURGEONS |
| Practice Address |
2023 Professional Center Dr Orange Park FL 32073-4461 |
| Practice Telephone | 9042722020 |
| Practice Fax Number | 9042725762 |
| Mailing Telephone | 9042722020 |
| Mailing Fax Number | 9042725762 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | MICHELLE DELROW (BILLING MANAGER) |
| Authorized Official Telephone | 9042722020 |
| Is Organization Subpart | Y |
| Parent Organization Name | HARRIS WILCOX AND DONOVAN PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Clay Eye Physicians and Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1023120409 | Harris Wilcox and Donovan Pa | Eyewear Supplier (Equipment, not the service) | 2023 Professional Center Dr, Orange Park, FL 32073-4461 | 2006-08-31 |
| Street Address |
2023 PROFESSIONAL CENTER DR |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357010 | David W Hayes | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2005-12-19 |
| 1639664568 | Brandon Powell | Optometrist | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2018-06-23 |
| 1750774634 | John Robert Bullock | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2015-03-16 |
| 1891887394 | Russell Anthony Pecoraro | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4468 | 2006-09-29 |
| 1023120409 | Harris Wilcox and Donovan Pa | Eyewear Supplier (Equipment, not the service) | 2023 Professional Center Dr, Orange Park, FL 32073-4461 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942755160 | Kens United Optical | Eyewear Supplier (Equipment, not the service) | 225 Blanding Blvd, Orange Park, FL 32073-3357 | 2016-08-17 |
| 1003075953 | Frank W Bowden IIi Md Facs Pa | Eyewear Supplier (Equipment, not the service) | 1008 Park Avenue, Suite 140, Orange Park, FL 32073-4112 | 2008-06-05 |
| 1972650554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1910 Wells Rd, Orange Park Mall, Orange Park, FL 32073-2325 | 2007-01-04 |
| 1265507008 | Pearle Vision Inc. | Eyewear Supplier (Equipment, not the service) | 1911 Wells Rd Ste 6, Orange Park, FL 32073-2372 | 2006-11-21 |
| 1679647788 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 560 Blanding Blvd, Orange Park, FL 32073-5005 | 2006-11-20 |
| 1679644066 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 19116 Wells Rd, Orange Park, FL 32073-1702 | 2006-11-10 |
| 1174603898 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 58 Blancing Boulevard, Orange Park, FL 32073 | 2006-10-17 |
| 1104433002 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 560 Blanding Blvd, Orange Park, FL 32073-5005 | 2020-09-25 |
| 1346527447 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 58 Blanding Blvd, Orange Park, FL 32073-2625 | 2011-11-03 |
| 1831241355 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1919 Wells Rd, Orange Park, FL 32073-1701 | 2007-01-17 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on HARRIS WILCOX AND DONOVAN PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.