NPIMap

Organization Active NPI

Southeast Eye Institute, PA

Doing business as Opti-mart

  • Ophthalmology Physician
  • Sun City Center, FL
National Provider Identifier
1982315826
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTHEAST EYE INSTITUTE, PA
Doing business as
Opti-mart
Practice address
3830 Sun City Center Blvd Ste 105
Sun City Center, FL 33573-6820
Phone
(813) 634-6155
NPI assigned
Dec 12, 2022
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Nathan Emery, MD
Title
Owner/Director
Phone
(813) 634-6155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3830 Sun City Center Blvd Ste 105
Sun City Center, FL 33573-6820

Mailing address

3830 Sun City Center Blvd Ste 105
Sun City Center, FL 33573-6820
Phone (813) 634-6155

Other names 1

  • Opti-mart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Opti-Mart10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1982315826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 SUN CITY CENTER BLVD STE 105",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736820",
            "telephone_number": "813-634-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 SUN CITY CENTER BLVD STE 105",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736820",
            "telephone_number": "813-634-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST EYE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "813-634-6155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opti-mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.