# ATLANTIC EYE INSTITUTE P.A.

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

## Provider details

- **NPI number:** 1558177634
- **Authorized official:** CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (916) 990-7590

## Contact information

- **Practice address:** 13457 ATLANTIC BLVD STE 5, JACKSONVILLE, FL 32225-3294
- **Practice address phone:** (904) 241-7865
- **Practice address fax:** (904) 249-2352
- **Mailing address:** 3316 3RD ST S STE 103, JACKSONVILLE BEACH, FL 32250-6090

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024