MEDICARE: ATLANTIC EYE INSTITUTE P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1346383270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC EYE INSTITUTE P.A.

Provider Business Mailing Address
First Line	:	3316 3RD ST S
Second Line	:	SUITE 103
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-6073
Country	:	US
Telephone Number	:	904-241-2990
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 3RD ST S
Second Line	:	SUITE 103
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-6073
Country	:	US
Telephone Number	:	904-241-2990
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NEIL T SHMUNES
Credential	:	MD
Telephone Number	:	904-595-5122

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	05/20/2024

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