Provider Demographics
NPI:1053180877
Name:MANATEE EYE CARE, LLC
Entity type:Organization
Organization Name:MANATEE EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EMMETT
Authorized Official - Last Name:REGO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-651-7228
Mailing Address - Street 1:12190 LONGVIEW LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-5000
Mailing Address - Country:US
Mailing Address - Phone:954-651-7228
Mailing Address - Fax:941-248-0245
Practice Address - Street 1:13140 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-3801
Practice Address - Country:US
Practice Address - Phone:941-918-2453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty