Organization
DESIGNER EYEWEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F AKEL O.D. (OPTOMETRIST/OWNER)
(904) 781-7717
Entity
Organization
Contact information
Practice address
5205 NORMANDY BLVD, SUITE #3, JACKSONVILLE, FL 32205-4841
(904) 781-7717
(904) 781-6367
Mailing address
5205 NORMANDY BLVD, SUITE #3, JACKSONVILLE, FL 32205-4841
(904) 781-7717
(904) 781-6367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620423600
—
FL
Enumeration date
07/28/2006
Last updated
10/19/2011
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