3D Vision Eye Surgery Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME80695 Issued in FL

Legal business name

3D VISION EYE SURGERY CENTER

Doing business as

FERST: Florida Eye Research and Surgical Therapy Institute

Practice address

1201 S Ridgewood Ave
Daytona Beach, FL 32114-6123

Phone

(386) 492-7718

Fax

(386) 492-7720

NPI assigned

Dec 16, 2009

Last updated

Jul 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen Thomas Jackson, M.D.NPI 1932151479

Title

Director

Phone

(386) 492-7718

Specialties & licenses 1

Addresses

Other names 1

• FERST: Florida Eye Research and Surgical Therapy Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Thomas Jackson, MD

  • Ophthalmology Physician
  • Daytona Beach, FL
  • NPI 1932151479
  Medicare reassignment NPD Authorized official
• Marie Lauretta Seide-Justin, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1760423271
  NPD (past)

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1245569508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146123",
            "telephone_number": "386-492-7718",
            "fax_number": "386-492-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146123",
            "telephone_number": "386-492-7718",
            "fax_number": "386-492-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D VISION EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-492-7718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME80695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FERST: Florida Eye Research and Surgical Therapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St N.E.M.T., LLC
• A Helping Hand Inc
• A Helping Hand Inc
• A Helping Hand Inc
• A Helping Hand Inc
• A Helping Hand Inc

• Ophthalmology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.