| Atlantic Eye Institute, P.a. | |
|
3316 3rd St S Ste 103, Jacksonville Beach, FL 32250-6090 | |
| (904) 595-5122 | |
| (904) 249-2352 |
| Full Name | Atlantic Eye Institute, P.a. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3316 3rd St S Ste 103, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033200241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Karim Samara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700844420 PECOS PAC ID: 5698773356 Enrollment ID: I20061114000096 |
| Provider Name | Charles Duss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043356538 PECOS PAC ID: 0840383725 Enrollment ID: I20070908000135 |
| Provider Name | Christen Russell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538391032 PECOS PAC ID: 1759412364 Enrollment ID: I20100625000624 |
| Provider Name | Charles Steven Lancaster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316032204 PECOS PAC ID: 5496886780 Enrollment ID: I20100630000643 |
| Provider Name | Danielle Therese Callegari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013269661 PECOS PAC ID: 6204067614 Enrollment ID: I20140328000773 |
| Provider Name | Michelle L Diaz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265667364 PECOS PAC ID: 1254569692 Enrollment ID: I20140813000037 |
| Provider Name | Sushma Vance |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124210281 PECOS PAC ID: 0749312650 Enrollment ID: I20150310001378 |
| Provider Name | Austin Ray Felver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427540533 PECOS PAC ID: 6305193392 Enrollment ID: I20180723000809 |
| Provider Name | Sheila Pabon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972846541 PECOS PAC ID: 8921306283 Enrollment ID: I20200326002871 |
| Provider Name | Kelsey Moody Mileski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023492741 PECOS PAC ID: 2163737545 Enrollment ID: I20220720004052 |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Eye Institute, P.a. 3316 3rd St S, Suite 103, Jacksonville Beach, FL 32250-6073 Ph: (904) 241-7865 | Atlantic Eye Institute, P.a. 3316 3rd St S Ste 103, Jacksonville Beach, FL 32250-6090 Ph: (904) 595-5122 |