Individual provider Active NPI

Elizabeth Vawter, O.D.

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1639327547
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4320 Issued in FL
Practice address
4001 1St St # Us41
Bradenton, FL 34208-4431
Phone
(941) 745-9800
Fax
(941) 749-2863
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4320 FL Primary

Addresses

Primary practice location

4001 1St St # Us41
Bradenton, FL 34208-4431

Mailing address

4001 1St St # Us41
Bradenton, FL 34208-4431
Phone (941) 745-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000638 FL Practitioner - Optometry 9931383742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Manatee Ave W
Bradenton, FL 34205-5856
Phone (941) 747-1831

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Vawter OD PA Optometrist CurrentSince Oct 24, 2020 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Dec 22, 2010 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
DRS Jolly & Chlebina PA Optometrist PastSince Nov 9, 2020 Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2020 Manatee Ave W
Bradenton, FL 34205
Phone (941) 747-1831

4001 1st St E
#41
Bradenton, FL 34208
Phone (941) 745-9800

4001 1st St E
Bradenton, FL 34208
Phone (941) 745-9800

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

27835 Wesley Chapel Blvd
Ste 110
Wesley Chapel, FL 33544
Phone (813) 907-9122

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1639327547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 1ST ST # US41",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084431",
            "telephone_number": "941-745-9800",
            "fax_number": "941-749-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 1ST ST # US41",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084431",
            "telephone_number": "941-745-9800",
            "fax_number": "941-749-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAWTER",
        "first_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.