Individual provider Active NPI

Allison V Menezes, MD

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1992741078
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0065322 Issued in FL
Practice address
217 Manatee Ave E
Bradenton, FL 34208-1931
Phone
(941) 748-1818
Fax
(941) 746-1055
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0065322 FL Primary

Addresses

Primary practice location

217 Manatee Ave E
Bradenton, FL 34208-1931

Mailing address

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Other identifiers 2

IdentifierTypeStateIssuer
P00397350OtherFLRAILROAD MEDICARE
379085100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000336 FL Practitioner - Ophthalmology 3173622263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0065322FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Sarasota Eye Clinic PA Ophthalmology CurrentSince Jun 14, 2007 Accepting new patients

Locations

217 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-1818

6310 Health Park Way
Ste 340
Lakewood Ranch, FL 34202
Phone (914) 748-1818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1992741078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "ALLISON",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0065322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00397350",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379085100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.