ATLANTIC EYE INSTITUTE, P.A.
NPI 1033200241
Ophthalmology in Jacksonville Beach, FL

Active since September 27, 2006CLIA Certified · 2 labs
3316 3RD ST S STE 103, JACKSONVILLE BEACH, FL 32250(904) 595-5122(904) 249-2352 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Atlantic Eye Institute, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC EYE INSTITUTE, P.A. (NPI 1033200241) is a healthcare organization registered as an ophthalmology in Jacksonville Beach, Florida and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Candice B Davis, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1033200241
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameATLANTIC EYE INSTITUTE, P.A.
Location Address3316 3RD ST S STE 103Jacksonville Beach, FL 32250-6090
Mailing Address3316 3rd St S, Suite 103Jacksonville Beach, FL 32250-6073 · (904) 241-7865
Fax(904) 249-2352
Organization SubpartNo
Authorized OfficialCandice B DavisChief Revenue Officer · (916) 990-7590
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1033200241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
3316 3RD ST S STE 103, Jacksonville Beach, FL 32250

Secondary Practice Locations 2

Location 16207 Bennett RdJacksonville, FL 32216-5007 · Phone (904) 731-7500
Location 2105 Nature Walk Pkwy Unit 105St Augustine, FL 32092-4903 · Phone (904) 241-7865

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Eye Institute, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Atlantic Eye Institute, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology5
Optometry5

Clinicians, nearest first (10)

Ophthalmology
NPI 1265667364
3316 3RD ST S SUITE 103
Jacksonville, FL 32250
(904) 241-7865
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1043356538
3316 3RD ST S SUITE 103
Jacksonville, FL 32250
(904) 241-7865
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1316032204
3316 3RD ST S SUITE 103
Jacksonville Beach, FL 32250
(904) 241-7865
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1700844420
3316 3RD ST S SUITE 103
Jacksonville, FL 32250
(904) 241-7865
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1023492741
3316 3RD ST S STE 103
Jacksonville, FL 32250
(904) 241-7865
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1013269661
9041 SOUTHSIDE BLVD
Jacksonville, FL 32256
(904) 519-5057
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1538391032
7051 SOUTHPOINT PKWY S FL 3R
Jacksonville, FL 32216
(904) 398-2720
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1427540533
6207 BENNETT RD
Jacksonville, FL 32216
(904) 731-7500
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1124210281
6207 BENNETT RD
Jacksonville, FL 32216
(904) 241-7865
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1972846541
601 S BELCHER RD
Clearwater, FL 33764
(727) 266-2393
✔ PECOS✔ Accepts Medicare179 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2313839

Atlantic Eye Institute PA · Jacksonville, FL
Active · expires Nov 6, 2026
CLIA Number10D2313839
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorCharles V. Duss
Laboratory Phone(904) 595-5122
Laboratory LocationAtlantic Eye Institute PA6207 Bennett Rd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2315612

Atlantic Eye Institute PA · Jacksonville Beach, FL
Active · expires Dec 16, 2026
CLIA Number10D2315612
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorCharles V. Duss
Laboratory Phone(904) 595-5122
Laboratory LocationAtlantic Eye Institute PA3316 Third Street S, Ste 103, Jacksonville Beach, FL 32250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Atlantic Eye Institute carries, from the Medicare DMEPOS supplier directory.

Atlantic Eye Institute

DMEPOS supplier · Jacksonville Beach, FLOperated by Atlantic Eye Institute, P.A.
✔

Accepts Medicare assignment

Atlantic Eye Institute agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20607833
Medicare Participant SinceJanuary 1, 2002
Supplier Location3316 3rd St S Ste 103Jacksonville Beach, FL 32250
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Eye Institute, P.A.'s NPI number?

The NPI number for Atlantic Eye Institute, P.A. is 1033200241. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Atlantic Eye Institute, P.A. located?

Atlantic Eye Institute, P.A. is located at 3316 3rd St S Ste 103, Jacksonville Beach, FL 32250. The listed phone number is (904) 595-5122.

What is Atlantic Eye Institute, P.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Atlantic Eye Institute, P.A. enrolled in Medicare?

Yes. Atlantic Eye Institute, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Eye Institute, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlantic Eye Institute, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (5) and Optometry (5). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlantic Eye Institute, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Atlantic Eye Institute accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Atlantic Eye Institute, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Atlantic Eye Institute, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Atlantic Eye Institute, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlantic Eye Institute, P.A. was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.