Organization Active NPI

Wayne Golden OD PA

  • Eyewear Supplier
  • Sarasota, FL
National Provider Identifier
1962674606
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2764 Issued in FL
Legal business name
WAYNE GOLDEN OD PA
Practice address
5045 Fruitville Rd Ste 123
Golden Vision
Sarasota, FL 34232-2269
Phone
(941) 342-9711
Fax
(941) 378-3011
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Wayne Golden, ODNPI 1861484446
Title
Optometric Physician
Phone
(941) 342-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2764 FL Primary

Addresses

Primary practice location

5045 Fruitville Rd Ste 123
Golden Vision
Sarasota, FL 34232-2269

Mailing address

5045 Fruitville Rd Ste 123
Golden Vision
Sarasota, FL 34232-2269
Phone (941) 342-9711

Other names 1

  • Golden Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000343 FL Part B Supplier - Clinic/Group Practice 4981779675 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1962674606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 FRUITVILLE RD STE 123",
            "address_2": "GOLDEN VISION",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322269",
            "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": "5045 FRUITVILLE RD STE 123",
            "address_2": "GOLDEN VISION",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322269",
            "telephone_number": "941-342-9711",
            "fax_number": "941-378-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GOLDEN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "941-342-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.