Palm Coast Eyewear, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO954 Issued in FL

Legal business name

PALM COAST EYEWEAR, LLC

Practice address

3131 S Tamiami TRL
Suite 101
Sarasota, FL 34239-5101

Phone

(941) 954-1001

Fax

(941) 951-6957

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Renee Nichols

Title

Practice Manager

Phone

(941) 794-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana James Weinkle, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1003807116
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922052935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395101",
            "telephone_number": "941-954-1001",
            "fax_number": "941-951-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395101",
            "telephone_number": "941-954-1001",
            "fax_number": "941-951-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "941-794-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN LICENSE",
            "identifier": "DO1106",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catrina Lyn Palacios, B.A.
• Amy Lynn Palladino, D.C., C.PED.
• Sneha L Pallegar, DO
• Palm Avenue Counseling, PLLC
• Palm Coast Eye Center, P.a.
• Palm Garden Therapy at Home, LLC
• Luis Palma, MD
• Becky Palmer
• Lisa Palmer, PTA
• Lori G Palmer, MPH OTR/L

• Eyewear Supplier in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.