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

Dr. Abdallah Mohamed Jeroudi, MD

Individual provider Ophthalmology Physician · NPI 1730479650

Dr. Abdallah Mohamed Jeroudi, MD is an Ophthalmology in Jacksonville, Florida. Graduated from Baylor College of Medicine in 2011, 15 years ago. Practices with Retina Vitreous Consultants, a 44-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
15
Trained at
Baylor College of Medicine
Licensed in
FL, GA
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2639 Oak St
Jacksonville, FL 32204-4505
Phone: (904) 387-5600
Fax: (904) 388-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 8786 Perimeter Park Blvd, Jacksonville, FL 32216-6347 — (904) 997-9202
  • 50 Leanni Way Unit E5, Palm Coast, FL 32137-4757 — (386) 447-1847
  • 1100 Plantation Island Dr S Ste 130, St Augustine, FL 32080-5173 — (904) 826-0663
  • 304 Riverside Dr, Waycross, GA 31501-4549 — (912) 283-1400

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME130764 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence 77496 (GA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 77496 (GA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence ME130764 (FL)

Record details

NPI number1730479650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Retina Vitreous Consultants — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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