Organization
FIRST COAST VISION CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA M WILLIAMS O.D. (PRESIDENT)
(334) 467-9776
Entity
Organization
Contact information
Practice address
12100 LEM TURNER RD, JACKSONVILLE, FL 32218-2304
(904) 764-3801
(904) 764-3761
Mailing address
4133 EAGLE LANDING PKWY, ORANGE PARK, FL 32065-2634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4196
FL
Other
Enumeration date
01/29/2018
Last updated
11/03/2020
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