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HARRIS WILCOX AND DONOVAN PA NPI 1346539988


NPI Information

NPI: 1346539988
Provider Name: HARRIS WILCOX AND DONOVAN PA

Doing Business As: CLAY EYE PHYSICIANS AND SURGEONS, PA- MANDARIN

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2080744

Address:
11790 SAN JOSE BL
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 272-2020
Get Directions

HARRIS WILCOX AND DONOVAN PA is an ophthalmology in Jacksonville, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. HARRIS WILCOX AND DONOVAN PA NPI is 1346539988. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Clay Eye Physicians And Surgeons, Pa- Mandarin.

The provider's business location address is:

11790 SAN JOSE BL
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 272-2020
Fax: (904) 272-5762

The provider's authorized official is Michelle Delrow .
The authorized official title is Billing Manager and has the following contact phone number (904) 272-2020.

The CLIA number assigned to this NPI record is 10D2080744 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 4/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristFLORIDANo
2156FC0800XTechnician/TechnologistContact LensFLORIDANo
3174400000XSpecialistFLORIDANo
4332H00000XEyewear SupplierFLORIDANo
5207W00000XOphthalmologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CB1273OTHERFLORIDAMCR RAILROAD
2CB1273MEDICARE PINFLORIDA
398904OTHERFLORIDAMEDICARE GROUP # CLINICAL
40478560003MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.