# RIVER CITY VISION CENTER PA

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

## Provider details

- **NPI number:** 1649504804
- **Authorized official:** DR. CHANDRA M WILLIAMS OD (PRESIDENT)
- **Authorized official phone:** (334) 467-9776

## Contact information

- **Practice address:** 13453 N MAIN ST STE 203, JACKSONVILLE, FL 32218-2773
- **Practice address phone:** (904) 696-2027
- **Practice address fax:** (904) 696-2028
- **Mailing address:** 13453 N MAIN ST STE 203, JACKSONVILLE, FL 32218-2773
- **Mailing address phone:** (904) 696-2027
- **Mailing address fax:** (904) 696-2028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4196 | FL | Yes |
| 152W00000X | Optometrist | OPC4052 | FL | — |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 02/16/2024