MEDICARE: THE EYE ASSOCIATES OF MANATEE, LLP

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	207W00000X	Ophthalmology Physician
2	332H00000X	Eyewear Supplier		FL

General Provider Information

NPI Number	:	1477661759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EYE ASSOCIATES OF MANATEE, LLP

Provider Business Mailing Address
First Line	:	PO BOX 162264
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32716-2264
Country	:	US
Telephone Number	:	941-792-2020
Fax Number	:	941-798-3995

Provider Business Practice Location Address
First Line	:	3894 SUN CITY CENTER BLVD.
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6806
Country	:	US
Telephone Number	:	941-792-2020
Fax Number	:	941-798-3995

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER/MANAGING EM
Name	:	MR. ROBERT L. MARSHALL
Credential	:
Telephone Number	:	941-792-2020

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/21/2022

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