PALM COAST EYE CENTER, P.A.
NPI 1427098730
Ophthalmology in Bradenton, FL

Active since June 07, 2006
5601 21ST AVE W, SUITE A, BRADENTON, FL 34209(941) 794-2020(941) 792-3464 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palm Coast Eye Center, P.a. NPPES

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

PALM COAST EYE CENTER, P.A. (NPI 1427098730) is a healthcare organization registered as an ophthalmology in Bradenton, Florida and active in the NPI registry since June 2006. The organization lists Lisa Renee Nichols, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1427098730
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePALM COAST EYE CENTER, P.A.
Location Address5601 21ST AVE W, SUITE ABradenton, FL 34209-5642
Mailing Address5601 21st Ave W, Suite ABradenton, FL 34209-5642 · (941) 794-2020 · Fax (941) 792-3464
Fax(941) 792-3464
Organization SubpartNo
Authorized OfficialLisa Renee NicholsPractice Manager · (941) 794-2020
Enumeration DateJune 7, 2006
Last NPPES UpdateApril 10, 2008
✔ NPI 1427098730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME0045451
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License OPC3917 (FL)
5601 21ST AVE W, Bradenton, FL 34209

Other Identifiers 6

Medicare UPIND58970FL
OtherCJ5917FL · Railroad Medicare Group
Medicare UPINV04169FL
Medicare ID-Type UnspecifiedU3993XFL · Medicare Provider Number
Medicare ID-Type Unspecified79896YFL · Medicare Provider Number
Medicare ID-Type UnspecifiedK0672AFL · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palm Coast Eye Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Palm Coast Eye Center, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1003807116
5601 21ST AVE W SUITE A
Bradenton, FL 34209
(941) 794-2020
✔ PECOSSame address
Optometry
NPI 1417955451
8312 US HIGHWAY 301 N STE 105
Parrish, FL 34219
(941) 776-5770
✔ PECOS9.4 mi
Ophthalmology
NPI 1073587952
779 CORTARO DR
Sun City Center, FL 33573
(813) 213-0020
✔ PECOS✔ Accepts Medicare22 mi
Optometry
NPI 1902800683
1601 38TH AVE N
St Petersburg, FL 33713
(727) 490-7570
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eye Center, P.A.'s NPI number?

The NPI number for Palm Coast Eye Center, P.A. is 1427098730. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Palm Coast Eye Center, P.A. located?

Palm Coast Eye Center, P.A. is located at 5601 21st Ave W Suite A, Bradenton, FL 34209. The listed phone number is (941) 794-2020.

What is Palm Coast Eye Center, P.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Palm Coast Eye Center, P.A. enrolled in Medicare?

Yes. Palm Coast Eye Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palm Coast Eye Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Palm Coast Eye Center, P.A., in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palm Coast Eye Center, P.A. was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.