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PALM COAST EYE CENTER P.A. NPI 1427098730


NPI Information

NPI: 1427098730
Provider Name: PALM COAST EYE CENTER, P.A.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2050886

Address:
5601 21ST AVE W
SUITE A
BRADENTON, FL
ZIP 34209
Phone: (941) 794-2020
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PALM COAST EYE CENTER, P.A. 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. PALM COAST EYE CENTER, P.A. NPI is 1427098730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5601 21ST AVE W
SUITE A
BRADENTON, FL
ZIP 34209-642
Phone: (941) 794-2020
Fax: (941) 792-3464

The provider's authorized official is Lisa Renee Nichols .
The authorized official title is Practice Manager and has the following contact phone number (941) 794-2020.

The CLIA number assigned to this NPI record is 10D2050886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 4/10/2008.


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
1152W00000XOptometristOPC3917FLORIDANo
2207W00000XOphthalmologyME0045451FLORIDAYes

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
1D58970MEDICARE UPINFLORIDA
2CJ5917OTHERFLORIDARAILROAD MEDICARE GROUP
3V04169MEDICARE UPINFLORIDA
4U3993XMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PROVIDER NUMBER
579896YMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PROVIDER NUMBER
6K0672AMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP NUMBER

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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