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MANATEE SARASOTA EYE CLINIC PA NPI 1093752149


NPI Information

NPI: 1093752149
Provider Name: MANATEE SARASOTA EYE CLINIC PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D1056198

Address:
217 MANATEE AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 748-1818
Get Directions

MANATEE SARASOTA EYE CLINIC PA is an ophthalmology in Bradenton, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MANATEE SARASOTA EYE CLINIC PA NPI is 1093752149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 MANATEE AVE E
BRADENTON, FL
ZIP 34208-931
Phone: (941) 748-1818
Fax: (941) 746-1055

The provider's authorized official is Joyce L Macke .
The authorized official title is Cfo and has the following contact phone number (941) 748-1818.

The CLIA number assigned to this NPI record is 10D1056198 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 4/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100015MEDICARE ID-TYPE UNSPECIFIEDFLORIDAPROVIDER NUMBER
20958370001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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