Amanda Bourgeois, OD
NPI 1063423580 belongs to Amanda Bourgeois, OD, a pediatric optometrist with a practice location in Jacksonville, FL. The NPI was issued on August 10, 2006, and the record was last updated in NPPES on September 7, 2011. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2011. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Optometrist Primary | 152WP0200X | OPC3215 (FL) |
| Optometrist | 152W00000X | OPC3215 (FL) |
Practice location
Local context
Active NPPES records list 2 providers with pediatric optometrist as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 17 in Florida and 323 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Dr. Amanda J. Bourgeois
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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