Soutel Optical
Optometrist, Occupational Vision in Jacksonville, FL. Organization (NPI-2).
NPI number1457526147
StatusActive
Last updated in NPPESApr 24, 2008
Details
- NPI
- 1457526147
- Entity type
- Organization (NPI-2)
- Legal business name
- Soutel Optical
- Organization subpart
- No
- Enumeration date
- Apr 24, 2008
- Last updated
- Apr 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WX0102X | Optometrist, Occupational Vision | ob2437 | FL | Yes |
Practice location
5353 Soutel Dr Suite BJacksonville, FL 32219-3492
Phone 904-766-0660 · Fax 904-766-8338
Mailing address
5353 Soutel Dr Suite BJacksonville, FL 32219-3492
Phone 904-766-0660 · Fax 904-766-8338
Authorized official
Gary Otega Williams
Owner
9047660660
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