MEDICARE: EYE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OB2826	FL

General Provider Information

NPI Number	:	1063589604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CENTER INC

Provider Business Mailing Address
First Line	:	5106 MANATEE AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-3739
Country	:	US
Telephone Number	:	941-795-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5106 MANATEE AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-3739
Country	:	US
Telephone Number	:	941-795-2020
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	SARAH S MACKIE
Credential	:	OD
Telephone Number	:	941-795-2020

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	12/04/2025

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Directions to “EYE CENTER INC ” Practice Location

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