Organization Active NPI

The Eye Associates of Manatee , LLP

  • Eyewear Supplier
  • North Fort Myers, FL
National Provider Identifier
1043941800
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE EYE ASSOCIATES OF MANATEE , LLP
Practice address
17966 N Tamiami TRL # 160
North Fort Myers, FL 33903-1414
Phone
(239) 543-3336
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Kevin Becker
Title
Cfo
Phone
(706) 243-2259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

17966 N Tamiami TRL # 160
North Fort Myers, FL 33903-1414

Mailing address

PO Box 162264
Altamonte Springs, FL 32716-2264
Phone (941) 792-2020

Other names 1

  • Eye Centers Of Florida Former legal business name

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
10D2295382Eye Associates of Manatee, LLP, the17966 Tamiami Trail - #160, N Ft Myers, FL 33903Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1043941800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162264",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162264",
            "telephone_number": "941-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17966 N TAMIAMI TRL # 160",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339031414",
            "telephone_number": "239-543-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE ASSOCIATES OF MANATEE , LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-243-2259"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Centers Of Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eye Centers Of Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.