| Harris Wilcox And Donovan Pa | |
|
2023 Professional Center Dr, Orange Park, FL 32073-4461 | |
| (904) 272-2020 | |
| (904) 272-5762 |
| Full Name | Harris Wilcox And Donovan Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2023 Professional Center Dr, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023120409 | NPI | - | NPPES |
| CB1273 | Other | FL | RAIL ROAD MEDICARE |
| Provider Name | Donald M Downer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588777833 PECOS PAC ID: 8527065168 Enrollment ID: I20061025000060 |
| Provider Name | Karim Samara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700844420 PECOS PAC ID: 5698773356 Enrollment ID: I20061114000096 |
| Provider Name | Charles Duss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043356538 PECOS PAC ID: 0840383725 Enrollment ID: I20070908000135 |
| Provider Name | Lawrence Levine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144331893 PECOS PAC ID: 4284722075 Enrollment ID: I20071112000502 |
| Provider Name | Clarence M Harris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275598526 PECOS PAC ID: 9436221892 Enrollment ID: I20080703000195 |
| Provider Name | John P Donovan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508821844 PECOS PAC ID: 2466554944 Enrollment ID: I20080703000218 |
| Provider Name | Russell A Pecoraro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891887394 PECOS PAC ID: 8729179387 Enrollment ID: I20080910000509 |
| Provider Name | Charles Steven Lancaster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316032204 PECOS PAC ID: 5496886780 Enrollment ID: I20100630000643 |
| Provider Name | Melanie Celiz Javier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801850839 PECOS PAC ID: 3476685678 Enrollment ID: I20100723000727 |
| Provider Name | Susan M Frick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649406943 PECOS PAC ID: 4789879347 Enrollment ID: I20101109001401 |
| Provider Name | David A Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588629828 PECOS PAC ID: 4183738909 Enrollment ID: I20101119000258 |
| Provider Name | Paul V Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770585408 PECOS PAC ID: 3678687688 Enrollment ID: I20120308000215 |
| Provider Name | Danielle Therese Callegari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013269661 PECOS PAC ID: 6204067614 Enrollment ID: I20140328000773 |
| Provider Name | Michelle L Diaz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265667364 PECOS PAC ID: 1254569692 Enrollment ID: I20140813000037 |
| Provider Name | Sushma Vance |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124210281 PECOS PAC ID: 0749312650 Enrollment ID: I20150310001378 |
| Provider Name | David W Hayes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659357010 PECOS PAC ID: 0749407567 Enrollment ID: I20150915000262 |
| Provider Name | Austin Ray Felver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427540533 PECOS PAC ID: 6305193392 Enrollment ID: I20180723000809 |
| Provider Name | Brandon Od Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639664568 PECOS PAC ID: 2264783117 Enrollment ID: I20180917001337 |
| Provider Name | Jameson Parker Dupree |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760826895 PECOS PAC ID: 8921313933 Enrollment ID: I20190710001276 |
| Provider Name | John R Bullock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750774634 PECOS PAC ID: 1759697907 Enrollment ID: I20200625001139 |
| Provider Name | Jericho Brian Sayoc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407460124 PECOS PAC ID: 1850790445 Enrollment ID: I20210602001387 |
| Provider Name | Yasmin Islam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225558455 PECOS PAC ID: 6709159924 Enrollment ID: I20210806000154 |
| Provider Name | Alan Franklin Swinehart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891876314 PECOS PAC ID: 9335532837 Enrollment ID: I20220204001571 |
| Provider Name | Christopher Michael Barron |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477085561 PECOS PAC ID: 0547669780 Enrollment ID: I20220524000314 |
| Provider Name | Dante Sorrentino |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922418904 PECOS PAC ID: 0446598528 Enrollment ID: I20240105001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Wilcox And Donovan Pa 2023 Professional Center Dr, Orange Park, FL 32073-4461 Ph: (904) 272-2020 | Harris Wilcox And Donovan Pa 2023 Professional Center Dr, Orange Park, FL 32073-4461 Ph: (904) 272-2020 |