Organization Active NPI

Eye Associates of Manatee LLP

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1306526645
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF MANATEE LLP
Practice address
15101 Shell Point Blvd
Fort Myers, FL 33908-1694
Phone
(941) 792-2020
NPI assigned
Jul 21, 2023
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Kevin Becker
Title
Cfo
Phone
(706) 243-2259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

15101 Shell Point Blvd
Fort Myers, FL 33908-1694

Mailing address

PO Box 162264
Altamonte Springs, FL 32716-2264
Phone (941) 792-2020

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates Surg Ctr8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15101 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 446-1131

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1306526645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162264",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162264",
            "telephone_number": "941-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081694",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF MANATEE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-243-2259"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.