Organization Active NPI

The Eye Depot, P. a.

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1275638637
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE EYE DEPOT, P. A.
Practice address
426 Manatee Ave W
Bradenton, FL 34205-8845
Phone
(941) 708-9000
Fax
(941) 746-7365
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Larry Roberts, COA, CPC, CPB
Title
Practice Administrator
Phone
(941) 708-9000

Specialties & licenses 1

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

Addresses

Primary practice location

426 Manatee Ave W
Bradenton, FL 34205-8845

Mailing address

426 Manatee Ave W
Bradenton, FL 34205-8845
Phone (941) 708-9000

Other names 1

  • Daniel B Pope MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000037 FL Part B Supplier - Clinic/Group Practice 6103827126 Receives reassigned benefits from 5 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

426 Manatee Ave W
Bradenton, FL 34205
Phone (813) 748-1818

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1275638637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058845",
            "telephone_number": "941-708-9000",
            "fax_number": "941-746-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058845",
            "telephone_number": "941-708-9000",
            "fax_number": "941-746-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE DEPOT, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-708-9000",
        "authorized_official_credential": "COA, CPC, CPB"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel B Pope MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.