Provider Demographics
NPI:1932117363
Name:CONE, PAUL J (O D)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:CONE
Suffix:
Gender:M
Credentials:O D
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Mailing Address - Street 1:961 CESERY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-5607
Mailing Address - Country:US
Mailing Address - Phone:904-743-1311
Mailing Address - Fax:904-743-2802
Practice Address - Street 1:961 CESERY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-5607
Practice Address - Country:US
Practice Address - Phone:904-743-1311
Practice Address - Fax:904-743-2802
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2016-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC 912152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275141OtherWELLCARE MEDICARE
FL593674223OtherTRICARE SOUTH REGION
1327OtherICARE HEALTH SOLUTIONS
FL084457800Medicaid
PV00000103078OtherADVANTICA
FL0003780741OtherPREMIER EYE CARE
FL3973OtherEYEMED
007832827OtherAPWU HEALTH PLAN
07GRBOtherFLORIDA BLUE
FL410046556OtherRAILROAD MEDICARE
FL66703OtherDAVIS VISION
P01185759OtherRAILROAD MEDICARE
FL12770OtherOPTUMHEALTH VISION
003007293OtherHIGHMARK BLUE SHIELD
FL0318948OtherWELLMED
FL041327OtherAVMED
FL19510OtherBLUE CROSS BLUE SHIELD
410046556OtherRAILROAD MEDICARE
FL0003780741OtherPREMIER EYE CARE
007832827OtherAPWU HEALTH PLAN
1327OtherICARE HEALTH SOLUTIONS
FL6150830001Medicare NSC
FLFU579AMedicare PIN