Florida Vision Institute Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FLORIDA VISION INSTITUTE INC

Practice address

1050 SE Monterey Rd
Ste 104
Stuart, FL 34994-4512

Phone

(772) 283-2020

Fax

(772) 220-9582

NPI assigned

Jul 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George L Neal

Title

President

Phone

(469) 214-0144

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jack Daubert, M.D., P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daubert Jack S3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Vision Institute Inc

  • Specialist
  • Boynton Beach, FL
  • NPI 1700573243
  NPD tax ID
• Florida Vision Institute, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
  • NPI 1760982656
  NPD tax ID

Locations

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quentin B Allen, M.D.

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1164483301
  Medicare reassignment Care Compare group NPD
• Giovana M Balasquide, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1033568084
  Medicare reassignment Care Compare group NPD
• Rebecca Grunbaum Bobo, MD

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1083769939
  Medicare reassignment Care Compare group NPD
• Marc Edward Brockman, OD

  • Optometrist
  • West Palm Beach, FL
  • NPI 1598764672
  Medicare reassignment Care Compare group NPD
• Michael J Goldberg, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1205843760
  Medicare reassignment Care Compare group NPD
• Ryan Hargreaves, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1467580308
  Medicare reassignment Care Compare group NPD
• Louis Martin Lima, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1053302281
  Medicare reassignment Care Compare group NPD
• Jodi Ian Luchs, M.D.

  • Ophthalmology Physician
  • West Palm Beach, FL
  • NPI 1366413023
  Medicare reassignment Care Compare group NPD
• Walid Mangal, D.O

  • Retina Specialist (Ophthalmology) Physician
  • Stuart, FL
  • NPI 1659529055
  Medicare reassignment Care Compare group NPD
• Elizabeth Oteiza, M.D.

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1073565743
  Medicare reassignment Care Compare group NPD
• Karina Somohano, MD

  • Ophthalmology Physician
  • Boynton Beach, FL
  • NPI 1588169452
  Medicare reassignment Care Compare group NPD
• Nichole Lauren Hruban, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1386805190
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1083614366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947665",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947665",
            "telephone_number": "772-283-2020",
            "fax_number": "772-220-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-283-2020",
            "fax_number": "772-220-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525479",
            "country_code": "US",
            "telephone_number": "772-337-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7593 W Boynton Beach Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "33437",
            "country_code": "US",
            "telephone_number": "954-431-2777",
            "fax_number": "954-431-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 University Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582778",
            "country_code": "US",
            "telephone_number": "561-839-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11530 SW Village Pkwy #103",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "34987",
            "country_code": "US",
            "telephone_number": "772-345-1500",
            "fax_number": "772-345-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 SW Innovation Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872117",
            "country_code": "US",
            "telephone_number": "772-345-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Flagler Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013430",
            "country_code": "US",
            "telephone_number": "561-659-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA VISION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K0965A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K0965",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack Daubert, M.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.