PALM COAST EYEWEAR, LLC (NPI# 1396960415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396960415 |
| Entity Type | Organization |
| Organization Name | PALM COAST EYEWEAR, LLC |
| Practice Address |
5601 21st Ave W Suite C Bradenton FL 34209-5642 |
| Practice Telephone | 9417941001 |
| Practice Fax Number | 9417943280 |
| Mailing Telephone | 9417941001 |
| Mailing Fax Number | 9417943280 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | LISA RENEE NICHOLS (PRACTICE MANAGER) |
| Authorized Official Telephone | 9417942020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | DO1765 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OPTICIAN LICENSE | DO1765 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922052935 | Palm Coast Eyewear, LLC | Eyewear Supplier (Equipment, not the service) | 3131 S Tamiami Trl, Suite 101, Sarasota, FL 34239-5101 | 2006-05-22 |
| Street Address |
5601 21ST AVE W SUITE C |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518310 | Scott K Clulow | Family Medicine | 5601 21st Ave W, #d, Bradenton, FL 34209-5642 | 2005-09-14 |
| 1992168355 | Katrina Gabrielle Mylett | Nurse Practitioner | 5601 21st Ave W, Suite D, Bradenton, FL 34209-5642 | 2016-04-03 |
| 1073945796 | Anthony Alfano | Family Medicine | 5601 21st Ave W, Suite D, Bradenton, FL 34209-5642 | 2013-08-05 |
| 1760782528 | Rishita Solanki-singh | Internal Medicine | 5601 21st Ave W, #d, Bradenton, FL 34209-5642 | 2010-10-27 |
| 1730391061 | Susan H Weinkle, Md | Dermatology | 5601 21st Ave W, Ste B, Bradenton, FL 34209-5642 | 2007-05-07 |
| 1992897938 | Susan Holloway Weinkle | Specialist | 5601 21st Ave W, Ste B, Bradenton, FL 34209-5642 | 2006-09-28 |
| 1780776732 | Harriet Lin Hall | Nurse Practitioner | 5601 21st Ave W, Ste B, Bradenton, FL 34209-5642 | 2006-09-28 |
| 1427098730 | Palm Coast Eye Center, P.a. | Optometrist | 5601 21st Ave W, Suite A, Bradenton, FL 34209-5642 | 2006-06-07 |
| 1003807116 | Dana James Weinkle | Ophthalmology | 5601 21st Ave W, Suite A, Bradenton, FL 34209-5642 | 2005-10-31 |
| 1336139864 | James N Ganey | Surgery | 5601 21st Ave W, Suite D, Bradenton, FL 34209-5642 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182182 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4555 14th Street West, Bradenton, FL 34207-0000 | 2013-09-26 |
| 1386790152 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4001 East 1st Street (us 41), Bradenton, FL 34208 | 2007-01-26 |
| 1053469809 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 303 Us Hwy 301, Desoto Mall, Bradenton, FL 34205 | 2007-01-08 |
| 1215016068 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3581 1st St, Bradenton, FL 34208 | 2006-11-03 |
| 1942860457 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1659802288 | Eye Doctors Optical Outlets Pa | Eyewear Supplier (Equipment, not the service) | 7313 52nd Pl E, Bradenton, FL 34203-8915 | 2017-03-24 |
| 1649447178 | Carr &fessenden Od, Pa | Eyewear Supplier (Equipment, not the service) | 7313 52nd Pl E, Bradenton, FL 34203-8915 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.