FAMILY FIRST VISION CARE, PLLC
Complete NPI Record 1104341882
Optometrist in Jacksonville, FL
Active since August 03, 2017
Complete NPI Dataset
This page contains the complete raw NPPES record for Family First Vision Care, Pllc (NPI 1104341882), an optometrist organization in Jacksonville, FL. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1104341882 Field 1/28
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/28
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/28
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: FAMILY FIRST VISION CARE, PLLC Field 4/28
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 4680 PARKWAY DR STE 455 Field 5/28
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MASON Field 6/28
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH Field 7/28
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 450408199 Field 8/28
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/28
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5134459064 Field 10/28
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 4413 TOWN CENTER PKWY STE 207 Field 11/28
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: JACKSONVILLE Field 12/28
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: FL Field 13/28
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 322468570 Field 14/28
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/28
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9049989871 Field 16/28
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: WILLIAMS Field 19/28
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: WILLIAM Field 20/28
- The first name of the authorized official.
- Authorized Official Middle Name: R Field 21/28
- The middle name of the authorized official.
- Authorized Official Title or Position: COO Field 22/28
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9045454465 Field 23/28
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 152W00000X Field 24/28
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/28
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 26/28
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 27/28
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 5
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1911 Wells Rd Ste 6
Location 1/5Orange Park, FL 32073-2372 · Phone (904) 215-9700
9398-1 Arlington Expy
Location 2/5Jacksonville, FL 32225-8213 · Phone (904) 503-3565
359 Marsh Landing Pkwy
Location 3/5Jacksonville Beach, FL 32250-5849 · Phone (904) 280-0011
6419 W Newberry Rd Ste B3
Location 4/5Gainesville, FL 32605-6803 · Phone (352) 331-6321
110 S Orlando Ave
Location 5/5Winter Park, FL 32789-3656 · Phone (407) 571-9165
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