Manatee Family Eyecare, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2420 Issued in FL

Legal business name

MANATEE FAMILY EYECARE, PA

Practice address

319 7TH St W
Palmetto, FL 34221-5206

Phone

(941) 729-5516

Fax

(941) 729-3736

NPI assigned

Jan 12, 2007

Last updated

Mar 25, 2011By 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. Warren A. Paquin II, O.D.NPI 1629128350

Title

Owner

Phone

(941) 496-4444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Manatee Family Eyecare, PA

  • Optometrist
  • Venice, FL
  • NPI 1215111547

  O20110330000383

  Same enrollment
• Manatee Family Eyecare, PA

  • Optometrist
  • Bradenton, FL
  • NPI 1710161047

  O20110330000383

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Manatee Family Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manatee Family Eyecare, PA

  • Optometrist
  • Bradenton, FL
  • NPI 1710161047
  NPD tax ID

Locations

Practitioners 2

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.

• Warren A. Paquin, O.D.

  • Optometrist
  • Palmetto, FL
  • NPI 1629128350
  Medicare reassignment Care Compare group NPD Authorized official
• David Lee Hunt, O.D.

  • Optometrist
  • University Park, FL
  • NPI 1194801720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1487704029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 7TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215206",
            "telephone_number": "941-729-5516",
            "fax_number": "941-729-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 7TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215206",
            "telephone_number": "941-729-5516",
            "fax_number": "941-729-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE FAMILY EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "PAQUIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-496-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078975500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA - RAILROAD MEDICARE",
            "identifier": "CM3012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Scott Maloney, DDS
• Lori Manalo, CFA
• Manasota Arc
• Manatee Area Convenient Care Clinic, Inc.
• Manatee Associates of Counseling & Assessment
• Manatee River Assisted Living LLC
• Jen Marks, DIHOM, DHM, CCH
• Zachary Ryan Marshall
• Michael Martin
• Suzanne Mattera, OTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.