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DR. AMANDA J. BOURGEOIS OD
NPI 1063423580
Optometrist - Pediatrics in Jacksonville, FL

Active since August 10, 2006
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 390-3705(904) 390-3502 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amanda J. Bourgeois Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA J. BOURGEOIS OD (NPI 1063423580) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (OPC3215) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063423580
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. AMANDA J. BOURGEOISCredential: OD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Phone(904) 390-3705
Fax(904) 390-3502
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1063423580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in FL · OPC3215
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometristTaxonomy 152W00000X · License OPC3215 (FL)
807 CHILDRENS WAY, Jacksonville, FL 32207
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Other Identifiers 2

Medicaid000901117AGA
Medicaid620608500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600
THE NEMOURS FOUNDATION
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bourgeois's NPI number?

The NPI number for Amanda Bourgeois is 1063423580. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Amanda Bourgeois located?

Amanda Bourgeois practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 390-3705.

What is Amanda Bourgeois's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

What insurance does Amanda Bourgeois accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Amanda Bourgeois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Bourgeois was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.