Active NPI
MCR Health, Inc.
- Optometrist
- Bradenton, FL
National Provider Identifier
1154945939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MCR HEALTH, INC.
- Practice address
- 1312 Manatee Ave E
Bradenton, FL 34208-1358 - Phone
- (941) 750-8797
- Fax
- (941) 750-8698
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvin B Price
- Title
- President and Ceo
- Phone
- (941) 776-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
1312 Manatee Ave E
Bradenton, FL 34208-1358
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other names 1
- East Manatee Health and Wellness Center
National Provider Directory
National Provider DirectoryLocations
700 8th Ave W
Palmetto, FL 34221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1154945939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 710",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058812",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081358",
"telephone_number": "941-750-8797",
"fax_number": "941-750-8698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "941-776-4000"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Manatee Health and Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Manatee Health and Wellness Center",
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.