Provider Demographics
NPI:1013665868
Name:ATLANTIC EYE CONSULTANTS, LLC
Entity type:Organization
Organization Name:ATLANTIC EYE CONSULTANTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:KORE
Authorized Official - Last Name:DARLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-313-4861
Mailing Address - Street 1:175 E NASA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-1998
Mailing Address - Country:US
Mailing Address - Phone:321-805-3700
Mailing Address - Fax:321-392-6508
Practice Address - Street 1:175 E NASA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1998
Practice Address - Country:US
Practice Address - Phone:321-805-3700
Practice Address - Fax:321-392-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2024-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty