Performance Eyecare, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5052 Issued in FL

Legal business name

PERFORMANCE EYECARE, PA

Practice address

2827 Bon Air Ave
Sarasota, FL 34234-7345

Phone

(941) 361-9491

Fax

(904) 512-6636

NPI assigned

Apr 24, 2017

Last updated

Apr 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Jon Bausback, OD

Title

President

Phone

(219) 877-8635

Specialties & licenses 1

Addresses

Locations

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.

• Michael Childers

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1811046964
  NPD

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1275068595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 BON AIR AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347345",
            "telephone_number": "941-361-9491",
            "fax_number": "904-512-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 BON AIR AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347345",
            "telephone_number": "941-361-9491",
            "fax_number": "904-512-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "BAUSBACK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-877-8635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Perez, M.D.
• Perfect Blend Acupuncture
• Perfect Solutions for Seniors, Inc
• Performance Acupuncture
• Performance Anesthesia Inc
• Marcos Perivolaris
• Cynthia Perkins, RN
• Laurie Perkins, CNA
• Roxanne Permesly
• Jordan Perna

• Optometrist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.