Organization Active NPI

Yarabu Eye Care, P.a.

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1154892990
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YARABU EYE CARE, P.A.
Practice address
1141 53Rd Ave W
Bradenton, FL 34207-2858
Phone
(941) 567-4675
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Dr. Albert Alexander Lascaibar, OD
Title
President
Phone
(941) 567-4675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1141 53Rd Ave W
Bradenton, FL 34207-2858

Mailing address

11523 Palmbrush TRL # 124
Lakewood Ranch, FL 34202-2917
Phone (941) 567-4675

Other identifiers 1

IdentifierTypeStateIssuer
005809800MedicaidFL

Other names 1

  • Manatee Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1141 53rd Ave W
Bradenton, FL 34207
Phone (941) 567-4675

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1154892990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11523 PALMBRUSH TRL # 124",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022917",
            "telephone_number": "941-567-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072858",
            "telephone_number": "941-567-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARABU EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "LASCAIBAR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-567-4675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005809800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2018; 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.