# NORTHEAST FLORIDA EYE CARE ADDOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003241019
- **Authorized official:** RYAN WILLIAMS (COO)
- **Authorized official phone:** (904) 545-4465

## Contact information

- **Practice address:** 4413 TOWN CENTER PKWY, SUITE 207, JACKSONVILLE, FL 32246-8568
- **Practice address phone:** (904) 998-9822
- **Mailing address:** 11406 SAN JOSE BLVD, SUITE 1, JACKSONVILLE, FL 32223-7963
- **Mailing address phone:** (904) 260-3839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 09/09/2013