Organization Active NPI

Bradenton Eye Clinic Inc

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1154625168
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0066629 Issued in FL
Legal business name
BRADENTON EYE CLINIC INC
Practice address
4812 26TH St W
Bradenton, FL 34207-1705
Phone
(941) 727-3937
Fax
(941) 727-7001
NPI assigned
Jan 5, 2011
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Liaquat Allarakhia, M.D.,NPI 1063471282
Title
President
Phone
(941) 727-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0066629 FL Primary

Addresses

Primary practice location

4812 26TH St W
Bradenton, FL 34207-1705

Mailing address

4812 26TH St W
Bradenton, FL 34207-1705
Phone (941) 727-3937

Other identifiers 1

IdentifierTypeStateIssuer
377028100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1154625168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071705",
            "telephone_number": "941-727-3937",
            "fax_number": "941-727-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071705",
            "telephone_number": "941-727-3937",
            "fax_number": "941-727-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "ALLARAKHIA",
        "authorized_official_first_name": "LIAQUAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-727-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0066629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377028100",
            "state": "FL"
        }
    ],
    "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 Jan 5, 2011; 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.