# FLORIDA VISION INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack Daubert, M.D., P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083614366
- **Authorized official:** GEORGE L NEAL (PRESIDENT)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 1050 SE MONTEREY RD, STE 104, STUART, FL 34994-4512
- **Practice address phone:** (772) 283-2020
- **Practice address fax:** (772) 220-9582
- **Mailing address:** PO BOX 947665, ATLANTA, GA 30394-7665
- **Mailing address phone:** (772) 283-2020
- **Mailing address fax:** (772) 220-9582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | FL | — |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 04/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K0965 | MEDICARE PTAN | FL |
| 01 | — | K0965A | MEDICARE PTAN | FL |