Individual provider Active NPI

Wayne Golden, OD

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1861484446
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2764 Issued in FL
Practice address
3277 Fruitville Rd # a-1
Sarasota, FL 34237-6410
Phone
(941) 342-9711
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2764 FL Primary

Addresses

Primary practice location

3277 Fruitville Rd # a-1
Sarasota, FL 34237-6410

Mailing address

3277 Fruitville Rd
# A-1
Sarasota, FL 34237-6410
Phone (941) 342-9711

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
I20050910000108 FL Practitioner - Optometry 1557393527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3277 Fruitville Rd
A 1
Sarasota, FL 34237-6410
Phone (941) 342-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Golden OD PA CurrentSince Dec 26, 2001 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Nov 1, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

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

4001 1st St E
Bradenton, FL 34208
Phone (941) 745-9800

5045 Fruitville Rd
Ste 123
Sarasota, FL 34232
Phone (727) 203-4613

3277 Fruitville Rd
#A1
Sarasota, FL 34237
Phone (941) 342-9711

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

5872 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-9711

Organizations & group practices 3

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1861484446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 FRUITVILLE RD",
            "address_2": "# A-1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376410",
            "telephone_number": "941-342-9711",
            "fax_number": "941-378-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 FRUITVILLE RD # A-1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376410",
            "telephone_number": "941-342-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.