IndividualActive
Amanda Bourgeois, OD
NPI 1063423580 · Pediatric Optometrist · Jacksonville, FL
Provider details
- NPI number
- 1063423580
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPC3215 (FL)
Practice location
807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 390-3705
Fax: (904) 390-3502
Mailing address
Po Box 191
Rockland, DE 19732-0191
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2011-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.