Macula and Diabetic Eye Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME102736 Issued in FL

Legal business name

MACULA AND DIABETIC EYE CENTER LLC

Practice address

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

Phone

(941) 567-4078

Fax

(941) 896-7878

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Peter G Livingston, M.D.NPI 1598718553

Title

President

Phone

(941) 539-6779

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Peter Graves Livingston, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1598718553
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1922333186",
    "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": "941-896-7878"
        },
        {
            "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": "941-896-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACULA AND DIABETIC EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-539-6779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME102736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AN586Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Mackey, OTR
• Susan Marie Mackey, LMHC
• Michael A Mackie, OD
• Sarah Saputo Mackie, OD
• Marcy R Macpherson, MSW
• Amanda Maddrey, DO
• David Morgan Maddy, DMD
• Mallory Maestre, APRN
• Yareli Maez
• Gregory Charles Magda, P.T.

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.