# HARRIS WILCOX AND DONOVAN P A

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARRIS, WILCOX AND DONOVAN, P.A.
- **Other names:** Clay Eye Physicians and Surgeons
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710019435
- **Legal business name:** HARRIS, WILCOX AND DONOVAN, P.A.
- **Authorized official:** ERIC J KING (ADMINISTRATOR)
- **Authorized official phone:** (904) 272-2020

## Contact information

- **Practice address:** 1855 EASTWEST PKWY, FLEMING ISLAND, FL 32003-6348
- **Practice address phone:** (904) 272-2020
- **Practice address fax:** (904) 272-5762
- **Mailing address:** 1855 EASTWEST PKWY, FLEMING ISLAND, FL 32003-6348
- **Mailing address phone:** (904) 272-2020
- **Mailing address fax:** (904) 272-5762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 11/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CB1273 | RAILROAD MEDICARE | FL |