EYE ASSOCIATES OF MANATEE, LLP
Complete NPI Record 1366483851
Ophthalmology in Bradenton, FL
Active since June 08, 2006CLIA Certified · 10 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Eye Associates Of Manatee, Llp (NPI 1366483851), an ophthalmology organization in Bradenton, FL. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1366483851 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: EYE ASSOCIATES OF MANATEE, LLP Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 11407 Field 5/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BIRMINGHAM Field 6/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: AL Field 7/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 352468575 Field 8/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8643591308 Field 10/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 2394963939 Field 11/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6002 POINTE WEST BLVD Field 12/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: BRADENTON Field 13/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: FL Field 14/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 342095531 Field 15/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9417922020 Field 17/31
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: BECKER Field 20/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: KEVIN Field 21/31
- The first name of the authorized official.
- Authorized Official Title or Position: CFO Field 22/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4702432259 Field 23/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207W00000X Field 24/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 252035400 Field 26/31
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 27/31
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: FL Field 28/31
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 29/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 30/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 24
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
7915 US Highway 301 N
Location 1/24Ellenton, FL 34222-3531 · Phone (941) 792-2020
21275 Olean Blvd
Location 2/24Port Charlotte, FL 33952-6704 · Phone (239) 466-2020
8787 Bryan Dairy Rd Ste 260
Location 3/24Largo, FL 33777-1252 · Phone (941) 792-2020
2203 61st St W
Location 4/24Bradenton, FL 34209-5528 · Phone (941) 792-2020
5220 Lee Blvd
Location 5/24Lehigh Acres, FL 33971-1036 · Phone (239) 466-2020
20600 Veterans Blvd
Location 6/24Port Charlotte, FL 33954-2209 · Phone (239) 466-2020
112 Del Prado Blvd N
Location 7/24Cape Coral, FL 33909-2702 · Phone (239) 466-2020
2529 Tamiami Trl
Location 8/24Punta Gorda, FL 33950-6929 · Phone (239) 466-2020
7205 Bentley Rd
Location 9/24Jacksonville, FL 32256-7565 · Phone (941) 792-2020
6091 S Pointe Blvd
Location 10/24Fort Myers, FL 33919-4899 · Phone (239) 466-2020
1331 S Sumter Blvd
Location 11/24North Port, FL 34287-2339 · Phone (239) 466-2020
3940 Via Del Rey
Location 12/24Bonita Springs, FL 34134-7592 · Phone (239) 466-2020
1601 38th Ave N
Location 13/24St Petersburg, FL 33713-1926 · Phone (941) 792-2020
1909 Beach Blvd Ste 101
Location 14/24Jacksonville Beach, FL 32250-2643 · Phone (941) 792-2020
6807 State Road 70 E
Location 15/24Bradenton, FL 34203-9743 · Phone (941) 792-2020
3894 Sun City Center Blvd
Location 16/24Sun City Center, FL 33573-6806 · Phone (941) 792-2020
2111 Bee Ridge Rd
Location 17/24Sarasota, FL 34239-6104 · Phone (941) 792-2020
3 Shircliff Way Ste 134
Location 18/24Jacksonville, FL 32204-4785 · Phone (941) 792-2020
15640 New Hampshire Ct
Location 19/24Fort Myers, FL 33908-4168 · Phone (239) 466-2020
4101 Evans Ave
Location 20/24Fort Myers, FL 33901-9310 · Phone (941) 792-2020
675 Piper Blvd Unit 1
Location 21/24Naples, FL 34110-5703 · Phone (941) 792-2020
206 Ashourian Ave Ste 215
Location 22/24St Augustine, FL 32092-5107 · Phone (941) 792-2020
12341 Yellow Bluff Rd Ste 4
Location 23/24Jacksonville, FL 32226-2014 · Phone (941) 792-2020
1550 E Venice Ave
Location 24/24Venice, FL 34292-1661 · Phone (941) 792-2020
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
252035400 Medicaid
Identifier 1/1State: FL
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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