Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Riverside Eye and Laser Specialists, PA

Organization Specialist · NPI 1154805760

Riverside Eye and Laser Specialists, PA provides Specialist services 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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