Southern Eye Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS6694 Issued in FL

Legal business name

SOUTHERN EYE INSTITUTE

Practice address

720 N Ocean St
Jacksonville, FL 32202-3043

Phone

(904) 355-0115

Fax

(904) 355-5602

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stuart David Feldman, D.O.

Title

President

Phone

(904) 355-0115

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1770770398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N OCEAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023043",
            "telephone_number": "904-355-0115",
            "fax_number": "904-355-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N OCEAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023043",
            "telephone_number": "904-355-0115",
            "fax_number": "904-355-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-355-0115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS6694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375356500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80878",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "180025854",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Baptist Hospital of Florida, Inc (Baptist Town Center)
• Southern Baptist Hospital of Florida, Inc (Baptist Medical Center South)
• Southern Baptist Hospital of Florida, Inc (Wolfson Children's Hospital)
• Southern Baptist Hospital of Florida, Inc (Baptist Medical Center Jacksonville)
• Southern Cardiac Nuclear Imaging LLC
• Southern Heart Group (Diagnostic Cardiology Assoc)
• Southern Heart Group PA (St Lukes Cardiology Associates a)
• Southern Heart Group, P.a.
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.