Dr Amanda J Bourgeois, OD - Optometrist in Jacksonville, FL

Dr Amanda J Bourgeois, OD is a Optometrist - Pediatrics based in Jacksonville, Florida. Dr Amanda J Bourgeois is licensed to practice in Florida (license number OPC3215) and her current practice location is 807 Childrens Way, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 390-3705.

NPI number for Dr Amanda J Bourgeois is 1063423580 and her current mailing address is Po Box 191, Provider Enrollment Dept, Rockland, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063423580.

Contact Information

Dr Amanda J Bourgeois, OD
807 Childrens Way,
Jacksonville, FL 32207-8426
(904) 390-3705
(904) 390-3502



Healthcare Provider's Profile

Full NameDr Amanda J Bourgeois
GenderFemale
SpecialityOptometrist - Pediatrics
Location807 Childrens Way, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063423580
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 09/07/2011

Medical Identifiers

Medical identifiers for Dr Amanda J Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063423580NPI-NPPES
620608500MedicaidFL
000901117AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC3215 (Florida)Secondary
152WP0200XOptometrist - Pediatrics OPC3215 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda J Bourgeois is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 4 days ago


Optometrist in Jacksonville, FL

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    

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