NPIMap

Organization Active NPI

Richard a. Conroy,M.D.PA

  • Ophthalmology Physician
  • Venice, FL
National Provider Identifier
1003955071
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME24018 Issued in FL
Legal business name
RICHARD A. CONROY,M.D.PA
Practice address
1868 Tamiami TRL S
Venice, FL 34293-3160
Phone
(941) 493-9393
Fax
(941) 492-6650
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Trenity Shane McKinney, MDNPI 1629030655
Title
President
Phone
(941) 493-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME24018 FL Primary

Addresses

Primary practice location

1868 Tamiami TRL S
Venice, FL 34293-3160

Mailing address

1868 Tamiami TRL S
Venice, FL 34293-3160
Phone (941) 493-9393

Other names 1

  • Oasis Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809000546 FL Part B Supplier - Clinic/Group Practice 9739104019 Receives reassigned benefits from 3 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

1868 S Tamiami Trl
Venice, FL 34293
Phone (941) 493-9393

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003955071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933160",
            "telephone_number": "941-493-9393",
            "fax_number": "941-492-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933160",
            "telephone_number": "941-493-9393",
            "fax_number": "941-492-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. CONROY,M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "TRENITY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-493-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME24018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.