Organization Active NPI

Venice Ophthalmology Specialists PA

  • Cornea and External Diseases Specialist Physician
  • Venice, FL
National Provider Identifier
1710507942
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
VENICE OPHTHALMOLOGY SPECIALISTS PA
Practice address
717 E Venice Ave
Venice, FL 34285-7038
Phone
(941) 499-1570
Fax
(941) 499-1571
NPI assigned
Apr 17, 2020
Last updated
Jan 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Authorized official

Name
Steven Kane, MDNPI 1467712224
Title
Director
Phone
(941) 499-1570

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X Primary

Addresses

Primary practice location

717 E Venice Ave
Venice, FL 34285-7038

Mailing address

717 E Venice Ave
Venice, FL 34285-7038
Phone (941) 499-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423000308 FL Part B Supplier - Clinic/Group Practice 5294165817 Receives reassigned benefits from 2 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

4140 Woodmere Park Blvd
Ste 3
Venice, FL 34293
Phone (813) 493-3900

717 E Venice Ave
Venice, FL 34285
Phone (717) 810-7480

Practitioners & affiliated clinicians

Practitioners 3

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": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1710507942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857038",
            "telephone_number": "941-499-1570",
            "fax_number": "941-499-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857038",
            "telephone_number": "941-499-1570",
            "fax_number": "941-499-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE OPHTHALMOLOGY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-499-1570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2024; 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.