Organization Active NPI

Stuart Eye Institute PA

  • Ophthalmology Physician
  • Stuart, FL
National Provider Identifier
1043283195
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STUART EYE INSTITUTE PA
Practice address
2090 SE Ocean Blvd
Stuart, FL 34996
Phone
(772) 287-8777
Fax
(772) 287-4762
NPI assigned
Feb 9, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
William H Davenport, MDNPI 1669425773
Title
President
Phone
(772) 287-8777

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 Physician 207W00000X NU Primary

Addresses

Primary practice location

2090 SE Ocean Blvd
Stuart, FL 34996

Mailing address

2090 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 287-8777

Other identifiers 1

IdentifierTypeStateIssuer
261794300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000447 FL Part B Supplier - Clinic/Group Practice 7911804935 Receives reassigned benefits from 7 practitioners
Practice locations: Port St Lucie, FL; Stuart, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2032371Stuart Eye Institute PA2090 SE Ocean Blvd, Stuart, FL 34996Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1043283195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34996",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34996",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART EYE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-287-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261794300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.