Individual provider Active NPI

Henry Bausback, O.D.

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1851361059
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC-5052 Issued in FL
Practice address
2203 61St St W
Bradenton, FL 34209-5528
Phone
(941) 792-2020
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLP 60 clinicians

Practice addresses (Care Compare)

2203 61St St W
Bradenton, FL 34209-5531
Phone (941) 792-2020

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

6807 53Rd Ave E
Bradenton, FL 34203-9743
Phone (941) 758-1916

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180216001087 FL Practitioner - Optometry 9234115221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC-5052FLMDOptometrist
18002622AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L Childers DDS PLLC CurrentSince Apr 18, 2020 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Mar 1, 2019 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Mar 1, 2019 Accepting new patients
Medical Group Surgery Center LLC Past Accepting new patients

Locations

2203 61st St W
Bradenton, FL 34209

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

6807 State Road 70 E
Bradenton, FL 34203

7915 US Highway 301 N
Ste 101
Ellenton, FL 34222
Phone (941) 729-2020

2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385

1058 N Tamiami Trl
Ste 105
Sarasota, FL 34236

1058 N Tamiami Trl
Sarasota, FL 34236
Phone (941) 361-9491

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Interoperability endpoints

  • Direct secure messaging: henry.bausbackod.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: henry.bausbackod.p1@direct.theeyeassociates.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002622A IN
Optometrist 152W00000X OPC-5052 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2203 61St St W
Bradenton, FL 34209-5528

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

6002 Pointe West Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Other practice location 2

6807 State Road 70 E
Bradenton, FL 34203-9743
Phone (941) 792-2020

Other practice location 3

2111 Bee Ridge Rd
Sarasota, FL 34239-6104
Phone (941) 792-2020

Other practice location 4

1601 38th Ave N
St Petersburg, FL 33713-1926
Phone (941) 792-2020

Other practice location 5

3894 Sun City Center Blvd
Sun City Center, FL 33573-6806
Phone (941) 792-2020

Other practice location 6

7915 US Highway 301 N Ste 101
Ellenton, FL 34222-3532
Phone (941) 792-2020

Other practice location 7

1550 E Venice Ave
Venice, FL 34292-1661
Phone (941) 792-2020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100376610MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2026.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1851361059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 61ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095528",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Pointe West Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095531",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "fax_number": "941-792-9257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 State Road 70 E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342039743",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396104",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337131926",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 Sun City Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736806",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7915 US Highway 301 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342223532",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921661",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUSBACK",
        "first_name": "HENRY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002622A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.