DEEP CREEK EYE CARE LLC
NPI 1801057849
Optometrist in Punta Gorda, FL

Active since June 23, 2008
375 KINGS HWY, PUNTA GORDA, FL 33983(941) 979-6186 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deep Creek Eye Care Llc NPPES

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

DEEP CREEK EYE CARE LLC (NPI 1801057849) is a healthcare organization registered as an optometrist in Punta Gorda, Florida and active in the NPI registry since June 2008. The organization lists Patricia Buttery Radish, Manager, as its authorized official.

NPPES Registry Identity

NPI1801057849
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDEEP CREEK EYE CARE LLC
Location Address375 KINGS HWYPunta Gorda, FL 33983-5222
Mailing Address65 Cabello StPunta Gorda, FL 33983-5206 · (941) 764-6517
Organization SubpartNo
Authorized OfficialPatricia Buttery RadishManager · (941) 764-6517
Enumeration DateJune 23, 2008
Last NPPES UpdateAugust 15, 2008
✔ NPI 1801057849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC001796
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
375 KINGS HWY, Punta Gorda, FL 33983

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Deep Creek Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deep Creek Eye Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1053319335
24420 SANDHILL BLVD UNIT 101
Punta Gorda, FL 33983
(941) 255-5776
✔ PECOS✔ Accepts Medicare2.1 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 Deep Creek Eye Care LLC's NPI number?

The NPI number for Deep Creek Eye Care LLC is 1801057849. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Deep Creek Eye Care LLC located?

Deep Creek Eye Care LLC is located at 375 Kings Hwy, Punta Gorda, FL 33983. The listed phone number is (941) 979-6186.

What is Deep Creek Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Deep Creek Eye Care LLC enrolled in Medicare?

Yes. Deep Creek Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Creek Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Deep Creek Eye Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deep Creek Eye Care LLC was last updated on August 15, 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.