| Dr Amanda J Bourgeois, OD | |
|
807 Childrens Way, Jacksonville, FL 32207-8426 | |
| (904) 390-3705 | |
| (904) 390-3502 |
| Full Name | Dr Amanda J Bourgeois |
|---|---|
| Gender | Female |
| Speciality | Optometrist - Pediatrics |
| Location | 807 Childrens Way, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063423580 | NPI | - | NPPES |
| 620608500 | Medicaid | FL | |
| 000901117A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3215 (Florida) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | OPC3215 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda J Bourgeois, OD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Amanda J Bourgeois, OD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 390-3705 |
Northeast Florida Eye Care Addociates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4413 Town Center Pkwy, Suite 207, Jacksonville, FL 32246 Phone: 904-998-9822 | |
Dr. Sierra Marie Mattox, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4788 Hodges Blvd, Jacksonville, FL 32224 Phone: 904-992-9991 | |
Dr. Sheila D Merritt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9760 San Jose Blvd, Jacksonville, FL 32257 Phone: 904-268-2299 | |
Melanie J Carvell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5921 Collins Rd, Suite 1, Jacksonville, FL 32244 Phone: 904-777-3937 Fax: 904-777-8208 | |
Danielle Callegari, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9041 Southside Blvd, Jacksonville, FL 32256 Phone: 904-519-5057 | |
Steven H Schwartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3 Shircliff Way, Ste 122, Jacksonville, FL 32204 Phone: 904-388-3109 Fax: 904-388-9132 | |
Dr. Hewell Eaves, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7205 Bonneval Rd, Jacksonville, FL 32256 Phone: 904-296-0098 |