Organization
HARRIS WILCOX AND DONOVAN PA
Active
Other names
Clay Eye Physicians and Surgeons, PA- Mandarin
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BOBBIE WILLIAMS (BILLING MANAGER)
(904) 272-2020
Entity
Organization
Contact information
Practice address
11790 SAN JOSE BL, JACKSONVILLE, FL 32223
(904) 272-2020
(904) 272-5762
Mailing address
11790 SAN JOSE BLVD, JACKSONVILLE, FL 32223-1836
(904) 765-2020
(904) 272-5762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
156FC0800X
Contact Lens Technician/Technologist
—
FL
174400000X
Specialist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
332H00000X
Eyewear Supplier
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98904
MEDICARE GROUP # CLINICAL
FL
01
—
CB1273
MCR RAILROAD
FL
Enumeration date
04/05/2011
Last updated
06/27/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up