# HARRELSON EYE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ClearView Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790393080
- **Authorized official:** JAY RICHARD HARRELSON OD (OWNER/OPTOMETRIST)
- **Authorized official phone:** (904) 477-4379

## Contact information

- **Practice address:** 13245 ATLANTIC BLVD STE 8, JACKSONVILLE, FL 32225-7118
- **Practice address phone:** (904) 477-4379
- **Practice address fax:** (904) 647-7926
- **Mailing address:** 13245 ATLANTIC BLVD STE 8, JACKSONVILLE, FL 32225-7118
- **Mailing address phone:** (190) 447-7437
- **Mailing address fax:** (904) 647-7926

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 07/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10114960 | — | FL |
