Active NPI
Atlantic Eye Institute P.a.
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1346383270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ATLANTIC EYE INSTITUTE P.A.
- Practice address
- 3316 3Rd St S
Suite 103
Jacksonville, FL 32250-6073 - Phone
- (904) 241-2990
- NPI assigned
- Feb 14, 2007
- Last updated
- May 20, 2024
- Organization subpart
- Yes
- Parent organization
- ATLANTIC EYE INSTITUTE, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil T Shmunes, MD
- Title
- President
- Phone
- (904) 595-5122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
3316 3Rd St S
Suite 103
Jacksonville, FL 32250-6073
Mailing address
3316 3Rd St S
Suite 103
Jacksonville, FL 32250-6073
Phone (904) 241-2990
Other names 1
- Atlantic Optical Beaches
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068793 | FL | DME Supplier - Physician - Ophthalmology | 2466434386 | Practice locations: Jacksonville Beach, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1376685404
2466434386
-
- Ophthalmology Physician
- Jacksonville Beach, FL
- NPI 1033200241
2466434386
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Atlantic Eye Institute | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Atlantic Eye Institute
- Part of
- Atlantic Eye Institute
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1376685404
-
- Ophthalmology Physician
- Jacksonville, FL
- NPI 1558177634
-
- Ophthalmology Physician
- St Augustine, FL
- NPI 1720894819
-
- Ophthalmology Physician
- Jacksonville Beach, FL
- NPI 1033200241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1346383270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 3RD ST S",
"address_2": "SUITE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322506073",
"telephone_number": "904-241-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 3RD ST S",
"address_2": "SUITE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322506073",
"telephone_number": "904-241-2990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC EYE INSTITUTE P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATLANTIC EYE INSTITUTE, P.A.",
"enumeration_date": "2007-02-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "SHMUNES",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-595-5122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlantic Optical Beaches",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
- Atlantic Coast Cardiology LLC
- Atlantic Coast Medical Rehab
- Atlantic Coast Physical Therapy Services LLC
- Atlantic Coast Physical Therapy Services LLC
- Atlantic Dentistry PA
- Atlantic Eye Institute P.a.
- Atlantic Eye Institute P.a.
- Atlantic Family Acute Care Center LLC
- Atlantic Family Medical Center of Jacksonville PL
- Atlantic Hearing Aid
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.