# ATLANTIC EYE INSTITUTE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033200241
- **Authorized official:** CANDICE B DAVIS (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (916) 990-7590

## Contact information

- **Practice address:** 3316 3RD ST S STE 103, JACKSONVILLE BEACH, FL 32250-6090
- **Practice address phone:** (904) 595-5122
- **Practice address fax:** (904) 249-2352
- **Mailing address:** 3316 3RD ST S, SUITE 103, JACKSONVILLE BEACH, FL 32250-6073
- **Mailing address phone:** (904) 241-7865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/30/2024