Suncoast Retina Institute, P.L.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUNCOAST RETINA INSTITUTE, P.L.

Practice address

4916 26TH St W
Ste 200
Bradenton, FL 34207-1712

Phone

(941) 567-4078

Fax

(941) 869-7878

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter G Livingston, M.D.

Title

President/Physician

Phone

(941) 567-4078

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1902172331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 26TH ST W",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071712",
            "telephone_number": "941-567-4078",
            "fax_number": "941-869-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 26TH ST W",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071712",
            "telephone_number": "941-567-4078",
            "fax_number": "941-869-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST RETINA INSTITUTE, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "941-567-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Medicare Supply Co. Inc.
• Suncoast Mobile Wellness and Therapy LLC
• Suncoast Physical Therapy & Rehab. LLC
• Suncoast Physical Therapy LLC
• Suncoast Psychotherapy LLC
• Suncoast Senior Care Consultants.LLC
• Suncoast Spinecare
• Kavin Sundaram, MD
• Eric Borden Sundberg, MD
• Sharla Sundberg, MD

• Ophthalmology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.