Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMANDA J. BOURGEOIS, OD
ActiveDR. AMANDA J. BOURGEOIS, OD is a Pediatric Optometrist healthcare provider located in JACKSONVILLE, Florida. NPI 1063423580 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1063423580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2006 (20.025617333924 yrs)
- Last Updated
- Sep 7, 2011
- Licenses
-
OPC3215 (FL)OPC3215 (FL)
Practice Information
- Address
-
807 CHILDRENS WAYJACKSONVILLE, FL, 322078426Browse FL providers · Browse ZIP 32207
- Phone
- 9043903705
- Fax
- 9043903502
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Pediatric Optometrist
Other Pediatric Optometrist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| JOHN ERICKSON | O.D. | 1144584160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.