Organization Active NPI

Atlantic Eye Institute P.a.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1346383270
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC EYE INSTITUTE, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068793 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Atlantic Eye Institute3316 3Rd St S, Jacksonville Beach, FL 32250-6090(904) 241-7865 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Eye Institute5 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.