Florida Eye Lab LLC
Florida Eye Lab LLC is a healthcare organization registered as Optometrist in Gainesville, FL, holding Type 2 (organization) NPI 1124519988 since 2018. The authorized official on file is Jackie Bennett, Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124519988 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Florida Eye Lab LLC |
| Other name | <Unavail> |
| Practice address | 3321 SW ARCHER RD, Gainesville, FL, 32608 |
| Phone | 5612752020 |
| Enumeration date | 2018-05-28 |
| Last updated in NPPES | 2018-05-28 |
Authorized official
| Name | Jackie Bennett |
|---|---|
| Title | Credentialing Specialist |
| Phone | 5614336009 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Copy-ready billing details
Provider: Florida Eye Lab LLC NPI: 1124519988 Taxonomy: 152W00000X (Optometrist) Address: 3321 SW ARCHER RD, Gainesville, FL, 32608
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215428073 | Kdj Enterprises, LLC | Organization | Optometrist | Gainesville, FL |
| 1700378445 | Kdj Enterprises, LLC | Organization | Optometrist | Gainesville, FL |
| 1750843041 | Daniel Max & Marc Andrea LLC | Organization | Eyewear Supplier | Gainesville, FL |
Verify this record
Cross-check NPI 1124519988 against the authoritative CMS record: view Florida Eye Lab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Florida Eye Lab LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-05-28.