# OPTICAL AT SOUTHPOINT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERNST NICOLITZ, M.D., P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255658316
- **Legal business name:** ERNST NICOLITZ, M.D., P.A.
- **Authorized official:** DR. ERNST NICOLITZ M.D. (PRESIDENT)
- **Authorized official phone:** (904) 398-2720

## Contact information

- **Practice address:** 7051 SOUTHPOINT PKWY, 3RD FLOOR, JACKSONVILLE, FL 32216-8713
- **Practice address phone:** (904) 398-2720
- **Practice address fax:** (904) 483-5640
- **Mailing address:** 7051 SOUTHPOINT PKWY, 3RD FLOOR, JACKSONVILLE, FL 32216-8713
- **Mailing address phone:** (904) 398-2720
- **Mailing address fax:** (904) 483-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ME31869 | ZZ | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010