Individual
BRENT DOUGLAS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2080 CHILD STREET OPTOMETRY CLINIC, JACKSONVILLE, FL 32214-1098
(904) 542-7300
Mailing address
2080 CHILD STREET OPTOMETRY CLINIC, JACKSONVILLE, FL 32214-0001
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14007 TLG
CA
Other
Enumeration date
12/28/2010
Last updated
06/29/2023
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