Organization
FLORIDA VISION INSTITUTE INC
Active
Other names
Jack Daubert, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (PRESIDENT)
(469) 214-0144
Entity
Organization
Contact information
Practice address
1050 SE MONTEREY RD, STE 104, STUART, FL 34994-4512
(772) 283-2020
(772) 220-9582
Mailing address
PO BOX 947665, ATLANTA, GA 30394-7665
(772) 283-2020
(772) 220-9582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0965
MEDICARE PTAN
FL
01
—
K0965A
MEDICARE PTAN
FL
Enumeration date
07/28/2005
Last updated
04/03/2026
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