Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Riverside Eye and Laser Specialists, PA

Organization Specialist · NPI 1154805760

Riverside Eye and Laser Specialists, PA is a Specialist in Jacksonville, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1034 Riverside Ave
Jacksonville, FL 32204-4123
Phone: (904) 354-2114
Fax: (904) 354-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1154805760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Agee — Owner · (904) 355-1525
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address1034 Riverside Ave, Jacksonville, FL 32204-4123

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