Organization
ADVANCED EYE CARE AND OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A POWERS O.D. (PRESIDENT)
(904) 996-1533
Entity
Organization
Contact information
Practice address
3546 ST JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224
(904) 996-1533
(904) 996-1535
Mailing address
3546 SAINT JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224-2713
(904) 996-1533
(904) 996-1535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20725
BLUECROSS BLUESHIELD
FL
05
—
620752900
—
FL
Enumeration date
10/13/2006
Last updated
01/30/2014
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