Healthcare Provider Details

I. General information

NPI: 1285704650
Provider Name (Legal Business Name): JASPER EYE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 BELVEDERE RD
WEST PALM BEACH FL
33405-1231
US

IV. Provider business mailing address

PO BOX 2375
WEST PALM BEACH FL
33402-2375
US

V. Phone/Fax

Practice location:
  • Phone: 561-832-0677
  • Fax: 561-833-1544
Mailing address:
  • Phone: 561-832-0677
  • Fax: 561-833-1544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberFL2944
License Number StateFL

VIII. Authorized Official

Name: DR. APRIL JASPER
Title or Position: PRESIDENT
Credential: O.D.
Phone: 561-832-0677