Jack Daubert, M.D., P.A.
LBN: Florida Vision Institute Inc
Jack Daubert, M.D., P.A. is an health care organization with primary practice located at 1050 Se Monterey Rd Ste 104, Stuart FL 34994-4512. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Florida Vision Institute Inc can be contacted via phone (772) 283-2020, or through Neal, George L via phone (469) 214-0144.
Contact Information
Primary practice address
1050 Se Monterey Rd Ste 104
Stuart FL 34994-4512
Phone: (772) 283-2020
Fax: (772) 220-9582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Florida | |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Florida | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1083614366 |
|---|---|
| LBN Legal business name | Florida Vision Institute Inc |
| DBA Doing business as | Jack Daubert, M.D., P.A. |
| Authorized official | Neal, George L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Apr 24th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083614366 | NPPES |
| Florida | Other | K0965A | MEDICARE PTAN |
| Florida | Other | K0965 | MEDICARE PTAN |
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