SOUTH ATLANTIC RETINA PLLC – NPI #1033092366
Ophthalmology
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
SOUTH ATLANTIC RETINA PLLC is an ophthalmologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1033092366 to SOUTH ATLANTIC RETINA PLLC on July 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist
The NPI profile was last updated on May 27, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH ATLANTIC RETINA PLLC below.
NPI Profile for
SOUTH ATLANTIC RETINA PLLC
(about 11 months ago)
JACKSONVILLE, FL 32216-7401 Phone: (904) 658-0176 Fax:
OWNER
Phone: (904) 658-0176
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207WX0107X - Ophthalmology / Retina Specialist (Primary) |
||
| 207W00000X - Ophthalmology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.