Organization
SOUTHERN EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART DAVID FELDMAN D.O. (PRESIDENT)
(904) 355-0115
Entity
Organization
Contact information
Practice address
720 N OCEAN ST, JACKSONVILLE, FL 32202-3043
(904) 355-0115
(904) 355-5602
Mailing address
720 N OCEAN ST, JACKSONVILLE, FL 32202-3043
(904) 355-0115
(904) 355-5602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS6694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180025854
RAIL ROAD MEDICARE
FL
05
—
375356500
—
FL
01
—
80878
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/27/2007
Last updated
05/09/2019
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