Organization Active NPI

Suncoast Eyehealth P.a.

  • Optometrist
  • Venice, FL
National Provider Identifier
1689996969
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUNCOAST EYEHEALTH P.A.
Practice address
101 Capri Isles Blvd Ste 101
Venice, FL 34292-3209
Phone
(941) 485-4868
Fax
(941) 300-5898
NPI assigned
Feb 27, 2010
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Dr. Melissa Black, O.D.NPI 1457301921
Title
President
Phone
(941) 485-4868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

101 Capri Isles Blvd Ste 101
Venice, FL 34292-3209

Mailing address

101 Capri Isles Blvd Ste 101
Venice, FL 34292-3209
Phone (941) 485-4868

Other identifiers 1

IdentifierTypeStateIssuer
000P9OtherFL000P9

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000566 FL Part B Supplier - Clinic/Group Practice 8426186271 Receives reassigned benefits from 2 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

101 Capri Isles Blvd
Ste 101
Venice, FL 34292
Phone (941) 485-4868

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1689996969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAPRI ISLES BLVD STE 101",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923209",
            "telephone_number": "941-485-4868",
            "fax_number": "941-300-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAPRI ISLES BLVD STE 101",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923209",
            "telephone_number": "941-485-4868",
            "fax_number": "941-300-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST EYEHEALTH P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-485-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000P9",
            "identifier": "000P9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.