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Individual

EVE BOGGESS GEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4788 HODGES BLVD, UNIT 205, JACKSONVILLE, FL 32224-7222
(904) 382-2037
(904) 223-1274
Mailing address
4788 HODGES BLVD, UNIT 205, JACKSONVILLE, FL 32224-7222
(904) 382-2037
(904) 223-1274

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPCOO2225
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC002225
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078072300
FL
Enumeration date
03/21/2006
Last updated
02/18/2011
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