Provider Demographics
NPI:1427540533
Name:FELVER, AUSTIN (OD)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:FELVER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 3RD ST S STE 103
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-6090
Mailing Address - Country:US
Mailing Address - Phone:904-595-5122
Mailing Address - Fax:904-249-2352
Practice Address - Street 1:6207 BENNETT RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5007
Practice Address - Country:US
Practice Address - Phone:904-731-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5520152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist