Provider Demographics
NPI:1033349915
Name:WEBB, ALISON GARLON (OD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:GARLON
Last Name:WEBB
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3337
Mailing Address - Country:US
Mailing Address - Phone:904-356-7101
Mailing Address - Fax:904-356-7947
Practice Address - Street 1:806 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3337
Practice Address - Country:US
Practice Address - Phone:904-356-7101
Practice Address - Fax:904-356-7947
Is Sole Proprietor?:No
Enumeration Date:2009-07-25
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5909152W00000X
FLOPC 4493152W00000X
WV1072-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1907XOtherBCBS
FL6183330002Medicare NSC
FL1907XOtherBCBS