Individual provider Active NPI

Nathan Joseph Climo, OD

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1861122533
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6083 Issued in FL
Practice address
805 Lighthouse Dr
Bradenton, FL 34212-2168
Phone
(941) 213-0762
NPI assigned
Jun 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6083 FL Primary

Addresses

Primary practice location

805 Lighthouse Dr
Bradenton, FL 34212-2168

Mailing address

805 Lighthouse Dr
Bradenton, FL 34212-2168

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
I20220926001963 FL Practitioner - Optometry 8921484155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeconic Eye Care LLCGroup PAC ID 1052768165, 2 clinicians

Practice addresses (Care Compare)

805 Lighthouse Dr
Bradenton, FL 34212-2168
Phone (941) 213-0762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeconic Eye Care, LLC Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jun 24, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

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

805 Lighthouse Dr
Bradenton, FL 34212
Phone (941) 213-0747

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

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

Organizations & group practices 4

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1861122533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LIGHTHOUSE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIGHTHOUSE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122168",
            "telephone_number": "941-213-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIMO",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.