Organization Active NPI

Manatee Sarasota Eye Clinic PA

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1093752149
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MANATEE SARASOTA EYE CLINIC PA
Practice address
217 Manatee Ave E
Bradenton, FL 34208-1931
Phone
(941) 748-1818
Fax
(941) 746-1055
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Joyce L Macke
Title
Cfo
Phone
(941) 748-1818

Specialties & licenses 1

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

Addresses

Primary practice location

217 Manatee Ave E
Bradenton, FL 34208-1931

Mailing address

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041028000173 FL Part B Supplier - Clinic/Group Practice 2466414925 Receives reassigned benefits from 15 practitioners
Practice locations: Bradenton, FL; Lakewood Ranch, FL; Sarasota, FL; Sun City Center, FL
O20100930048174 FL DME Supplier - Optician 2466414925 Practice locations: Bradenton, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Manatee Sarasota Eye Clinic PA217 Manatee Ave E, Bradenton, FL 34208-1931(941) 748-1818 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

2010 59th St W
Fl 3
Bradenton, FL 34209
Phone (941) 795-6414

109 S Pineapple Ave
#301
Sarasota, FL 34236
Phone (941) 748-1818

1515 Sun City Center Plz
Sun City Center, FL 33573
Phone (813) 633-3065

Interoperability endpoints

  • Direct secure messaging: slin@coastal.intellechartdirect.net
  • Direct secure messaging: nkansara@coastal.intellechartdirect.net
  • Direct secure messaging: rsambursky@coastal.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1093752149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE SARASOTA EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MACKE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-748-1818"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.