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

Jay Richard Harrelson, OD

Individual provider Optometrist · NPI 1700235173

Jay Richard Harrelson, OD is an Optometry in Jacksonville, Florida. Graduated from Nova Southeastern Univ College of Dental Medicine in 2016, 10 years ago. Practices with Gateway Vision Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
FL
In the registry since
2016
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

13245 Atlantic Blvd Ste 8
Jacksonville, FL 32225-7118
Phone: (904) 477-4379
Fax: (904) 647-7926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5223 (FL)

Record details

NPI number1700235173
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address13245 Atlantic Blvd Ste 8, Jacksonville, FL 32225-7118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2016 (10 years in practice)
Group practice Gateway Vision Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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