Individual
SANDRA D JOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4668 TOWN CROSSING DR STE 143, INSIDE LENSCRAFTERS, JACKSONVILLE, FL 32246-7422
(904) 641-1684
(904) 641-1582
Mailing address
9280 STARPASS DR, JACKSONVILLE, FL 32256
(904) 519-6141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0PC0002714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122070
EYEMED
FL
Enumeration date
10/02/2006
Last updated
12/09/2014
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