Active NPI
Henry Bausback, O.D.
- Optometrist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC-5052
- 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.
-
- Ophthalmology Physician
- Bradenton, FL
- NPI 1366483851
FL, Ophthalmology
-
- Eyewear Supplier
- Naples, FL
- NPI 1154052918
-
- Ambulatory Surgical Clinic/Center
- Bradenton, FL
- NPI 1568460889
-
- Eyewear Supplier
- Fort Myers, FL
- NPI 1659091759
-
- Oral and Maxillofacial Surgery (Dentist)
- Sarasota, FL
- NPI 1386261675
-
- Ambulatory Surgical Clinic/Center
- Michigan City, IN
- NPI 1760518617
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
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 100
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180216001087 | FL | Practitioner - Optometry | 9234115221 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC-5052 | FL | MD | Optometrist |
| 18002622A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L Childers DDS PLLC | Current | Accepting new patients | |
| Eye Associates of Manatee, LLP | Ophthalmology | Current | Accepting new patients |
| Eye Associates of Manatee LLP | Current | 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
- henry.bausbackod.p3@direct.theeyeassociates.nextgenshare.com
- henry.bausbackod.p1@direct.theeyeassociates.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002622A | IN | |
| Optometrist | 152W00000X | OPC-5052 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100376610 | Medicaid | IN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.