Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amanda J. Bourgeois, OD

Individual provider Optometrist · NPI 1063423580

Dr. Amanda J. Bourgeois, OD is an Optometrist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 390-3705
Fax: (904) 390-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Optometrist (primary) Taxonomy 152WP0200X · Licence OPC3215 (FL)
Optometrist Taxonomy 152W00000X · Licence OPC3215 (FL)

Record details

NPI number1063423580
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESSeptember 7, 2011

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