Organization
CW VISION OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. CHAMBERLAIN O.D. (PRESIDENT)
(904) 849-7431
Entity
Organization
Contact information
Practice address
463646 S.R. 200 A1A, SUITE 12, YULEE, FL 32097-0303
(904) 849-7431
(904) 849-7436
Mailing address
463646 SR 200 A1A, SUITE 12, YULEE, FL 32097
(904) 849-7431
(904) 849-7436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0001462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620513501
—
FL
Enumeration date
04/01/2009
Last updated
09/22/2009
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