# EAST FLORIDA EYE INSTITUTE PA

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

## Provider details

- **NPI number:** 1184788283
- **Authorized official:** DR. RONALD ERIC PRENTIS FRENKEL MD (OWNER)
- **Authorized official phone:** (772) 287-9000

## Contact information

- **Practice address:** 509 SE RIVERSIDE DR, SUITE 302, STUART, FL 34994-2579
- **Practice address phone:** (772) 287-9000
- **Practice address fax:** (772) 287-0507
- **Mailing address:** PO BOX 896, STUART, FL 34995-0896
- **Mailing address phone:** (772) 287-9000
- **Mailing address fax:** (772) 287-0507

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 09/12/2018