# GRACE B DORADO-FOSTER DOCTOR OF OPTOMETRY PROFESSIONAL ASSOCIATION

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

## Provider details

- **NPI number:** 1043978281
- **Authorized official:** DR. GRACE DORADO OD (OWNER)
- **Authorized official phone:** (904) 379-1260

## Contact information

- **Practice address:** 4890 BIG ISLAND DR STE 1, JACKSONVILLE, FL 32246-7490
- **Practice address phone:** (904) 379-1260
- **Practice address fax:** (904) 564-2646
- **Mailing address:** 4890 BIG ISLAND DR STE 1, JACKSONVILLE, FL 32246-7490
- **Mailing address phone:** (904) 379-1260
- **Mailing address fax:** (904) 564-2646

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 12/06/2021