# JAX VISION CARE, PA

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

## Provider details

- **NPI number:** 1609104637
- **Authorized official:** DR. COLLEEN MARY KING O.D. (OPTOMETRIST)
- **Authorized official phone:** (904) 472-0084

## Contact information

- **Practice address:** 201 N HOGAN ST STE 100, JACKSONVILLE, FL 32202-4203
- **Practice address phone:** (904) 356-9431
- **Practice address fax:** (904) 356-2969
- **Mailing address:** 201 N HOGAN ST STE 100, JACKSONVILLE, FL 32202-4203
- **Mailing address phone:** (904) 356-9431
- **Mailing address fax:** (904) 356-2969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3718 | FL | Yes |
| 152W00000X | Optometrist | OPC4005 | FL | — |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 02/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002039300 | — | FL |