Eye Center Inc
Organization Active NPI Optometrist · Bradenton, FL
NPI 1063589604 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1063589604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OB2826 (FL)
- Legal business name
- EYE CENTER INC
- Practice address
- 5106 Manatee Ave W
Bradenton, FL 34209-3739 - Phone
- (941) 795-2020
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Sarah S Mackie, OD
- Title
- Doctor
- Phone
- (941) 795-2020
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Practitioners 9
-
Douglas Keith Black, O.D.
-
Brad S Laudicina, OD
-
Michael A Mackie, OD
-
Richa Garg, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050318000748 | FL | Part B Supplier - Clinic/Group Practice | 8325093677 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment Practice locations: Bradenton, FL; Parrish, FL |
National Provider Directory
- Tax ID family
- Eye Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OB2826 | FL | Yes |
Addresses
Primary practice location
5106 Manatee Ave W
Bradenton, FL 34209-3739
Mailing address
5106 Manatee Ave W
Bradenton, FL 34209-3739
Phone (941) 795-2020
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.