Organization Active NPI

Eye Associates of Manatee, LLP

  • Eyewear Supplier
  • Venice, FL
National Provider Identifier
1104293026
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE ASSOCIATES OF MANATEE, LLP
Practice address
1550 E Venice Ave
Venice, FL 34292-1661
Phone
(941) 792-2020
Fax
(941) 782-1089
NPI assigned
Aug 26, 2015
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, CFO
Title
Cfo
Phone
(706) 243-2259

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1550 E Venice Ave
Venice, FL 34292-1661

Mailing address

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

Other names 1

  • The Eye Associates of Manatee Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1104293026",
    "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",
            "fax_number": "941-782-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921661",
            "telephone_number": "941-792-2020",
            "fax_number": "941-782-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF MANATEE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "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",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Associates of Manatee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Associates of Manatee",
            "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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.