# ADVANCED EYE CARE AND OPTICAL INC

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

## Provider details

- **NPI number:** 1982794368
- **Authorized official:** DR. MICHAEL A POWERS O.D. (PRESIDENT)
- **Authorized official phone:** (904) 996-1533

## Contact information

- **Practice address:** 3546 ST JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224
- **Practice address phone:** (904) 996-1533
- **Practice address fax:** (904) 996-1535
- **Mailing address:** 3546 SAINT JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224-2713
- **Mailing address phone:** (904) 996-1533
- **Mailing address fax:** (904) 996-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3509 | FL | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 01/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20725 | BLUECROSS BLUESHIELD | FL |
| 05 | — | 620752900 | — | FL |