Liz Vawter OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIZ VAWTER OD PA

Practice address

2020 Manatee Ave W
Bradenton, FL 34205-5856

Phone

(941) 747-1831

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Kathryn Vawter, ODNPI 1639327547

Title

President

Phone

(941) 224-9382

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Elizabeth Vawter, O.D.

  • Optometrist
  • Bradenton, FL
  • NPI 1639327547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1962019471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 2ND DR NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085075",
            "telephone_number": "941-224-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055856",
            "telephone_number": "941-747-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZ VAWTER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "VAWTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-224-9382",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador Lou Cornito Lituanas, RPT
• Rachel Litus
• Oliver Shuhao Liu, MD
• Living Well Acupuncture PA
• Peter Graves Livingston, M.D.
• Victoria Llana
• Cesar Aquiles Lluberes, M.D.
• Walter Eric Loch, MD
• David Lockhart, DC
• Ellen Lockhart

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.