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SOUTHEASTERN RETINA SPECIALISTS, PA
NPI 1427436187
Ophthalmology in Jacksonville, FL

Active since May 14, 2015
7740 POINT MEADOWS DR, SUITE 3A, JACKSONVILLE, FL 32256(904) 527-3577(904) 527-3514 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeastern Retina Specialists, Pa NPPES

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

SOUTHEASTERN RETINA SPECIALISTS, PA (NPI 1427436187) is a healthcare organization registered as an ophthalmology in Jacksonville, Florida and active in the NPI registry since May 2015. The organization lists Shannon Delp, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1427436187
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHEASTERN RETINA SPECIALISTS, PA
Location Address7740 POINT MEADOWS DR, SUITE 3AJacksonville, FL 32256-9179
Mailing Address7740 Point Meadows Dr, Suite 3aJacksonville, FL 32256-9179 · (904) 527-3577 · Fax (904) 527-3514
Phone(904) 527-3577
Fax(904) 527-3514
Organization SubpartNo
Authorized OfficialShannon DelpPractice Administrator · (904) 527-3577
Enumeration DateMay 14, 2015
Last NPPES UpdateJuly 6, 2015
✔ NPI 1427436187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME0064370
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.
7740 POINT MEADOWS DR, Jacksonville, FL 32256
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Other Identifiers 1

Medicare PIN202G708648GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter Health and more.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)

Southeastern Retina Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeastern Retina Specialists, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Shawn Agee, M.D.
Ophthalmology
NPI 1114247079
7740 POINT MEADOWS DR SUITE 3A
Jacksonville, FL 32256
(904) 527-3577
✔ PECOS✔ Accepts MedicareSame address
John Sullivan, MD
Ophthalmology
NPI 1619977345
7740 POINT MEADOWS DR SUITE 3A
Jacksonville, FL 32256
(904) 527-3577
✔ PECOS✔ Accepts MedicareSame address

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

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 Southeastern Retina Specialists, PA's NPI number?

The NPI number for Southeastern Retina Specialists, PA is 1427436187. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is Southeastern Retina Specialists, PA located?

Southeastern Retina Specialists, PA is located at 7740 Point Meadows Dr Suite 3A, Jacksonville, FL 32256. The listed phone number is (904) 527-3577.

What is Southeastern Retina Specialists, PA's specialty?

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

Is Southeastern Retina Specialists, PA enrolled in Medicare?

Yes. Southeastern Retina Specialists, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Retina Specialists, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Southeastern Retina Specialists, PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Retina Specialists, PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Southeastern Retina Specialists, PA 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 Southeastern Retina Specialists, PA was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.