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BRADENTON EYE CLINIC INC NPI 1154625168


NPI Information

NPI: 1154625168
Provider Name: BRADENTON EYE CLINIC INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2148689

Address:
4812 26TH ST W
BRADENTON, FL
ZIP 34207
Phone: (941) 727-3937
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BRADENTON EYE CLINIC INC 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. BRADENTON EYE CLINIC INC NPI is 1154625168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4812 26TH ST W
BRADENTON, FL
ZIP 34207-705
Phone: (941) 727-3937
Fax: (941) 727-7001

The provider's authorized official is Liaquat Allarakhia .
The authorized official title is President and has the following contact phone number (941) 727-3937.

The CLIA number assigned to this NPI record is 10D2148689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 1/5/2011.


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
1207W00000XOphthalmologyME0066629FLORIDAYes

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
1377028100MEDICAIDFLORIDA
226460MEDICARE PIN

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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