Provider Demographics
NPI:1043941800
Name:THE EYE ASSOCIATES OF MANATEE , LLP
Entity Type:Organization
Organization Name:THE EYE ASSOCIATES OF MANATEE , LLP
Other - Org Name:EYE CENTERS OF FLORIDA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWENCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-213-1385
Mailing Address - Street 1:PO BOX 162264
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-2264
Mailing Address - Country:US
Mailing Address - Phone:941-792-2020
Mailing Address - Fax:
Practice Address - Street 1:17966 N TAMIAMI TRL # 160
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-1414
Practice Address - Country:US
Practice Address - Phone:239-543-3336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier