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PALM COAST EYEWEAR, LLC
NPI 1396960415
Eyewear Supplier in Bradenton, FL

Active since April 16, 2007
5601 21ST AVE W, SUITE C, BRADENTON, FL 34209(941) 794-1001(941) 794-3280 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palm Coast Eyewear, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM COAST EYEWEAR, LLC (NPI 1396960415) is a healthcare organization registered as an eyewear supplier in Bradenton, Florida and active in the NPI registry since April 2007. The organization lists Lisa Renee Nichols, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396960415
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePALM COAST EYEWEAR, LLC
Location Address5601 21ST AVE W, SUITE CBradenton, FL 34209-5642
Mailing Address5601 21st Ave W, Suite CBradenton, FL 34209-5642 · (941) 794-1001 · Fax (941) 794-3280
Phone(941) 794-1001
Fax(941) 794-3280
Organization SubpartNo
Authorized OfficialLisa Renee NicholsPractice Manager · (941) 794-2020
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 8, 2008
✔ NPI 1396960415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in FL · DO1765
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

5601 21ST AVE W, Bradenton, FL 34209
Open in Google Maps ↗

Other Identifiers 2

OtherDO1765FL · Optician License
Medicare NSC5669810002FL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANA JAMES WEINKLE M.D.
Ophthalmology
5601 21ST AVE W, SUITE A
BRADENTON, FL 34209
Manatee County (941) 794-2020
DR. SCOTT K CLULOW DO
Family Medicine
5601 21ST AVE W, #D
BRADENTON, FL 34209
Manatee County (941) 313-7142
PALM COAST EYE CENTER, P.A.
Ophthalmology
5601 21ST AVE W, SUITE A
BRADENTON, FL 34209
Manatee County (941) 794-2020
SUSAN H WEINKLE, MD
Dermatology
5601 21ST AVE W, STE B
BRADENTON, FL 34209
Manatee County (941) 794-5432
DR. RISHITA SOLANKI-SINGH D.O
Internal Medicine
5601 21ST AVE W, #D
BRADENTON, FL 34209
Manatee County (941) 313-7142
HARRIET LIN HALL ARNP
Nurse Practitioner
5601 21ST AVE W, STE B
BRADENTON, FL 34209
Manatee County (941) 794-5432
BRADENTON SURGICAL ASSOCIATES, P.A.
Surgery
5601 21ST AVE W, SUITE D
BRADENTON, FL 34209
Manatee County (941) 748-1471
MRS. KATRINA GABRIELLE MYLETT ARNP
Nurse Practitioner (Family)
5601 21ST AVE W, SUITE D
BRADENTON, FL 34209
Manatee County (941) 313-7142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palm Coast Eyewear, LLC's NPI number?

The NPI number for Palm Coast Eyewear, LLC is 1396960415. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Palm Coast Eyewear, LLC located?

Palm Coast Eyewear, LLC is located at 5601 21st Ave W Suite C, Bradenton, FL 34209. The listed phone number is (941) 794-1001.

What is Palm Coast Eyewear, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Palm Coast Eyewear, LLC was last updated on May 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.