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NPI Code Detail

MEDICARE: EYE CENTER INC

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
1152W00000XOptometrist

General Provider Information

NPI Number : 1518928217
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE CENTER INC
Provider Business Mailing Address
First Line : 2003 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-1241
Country : US
Telephone Number : 941-756-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2003 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-1241
Country : US
Telephone Number : 941-756-2020
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL A MACKIE
Credential : OD
Telephone Number : 941-756-2020
Provider Enumeration Date : 03/31/2006
Last Update Date : 12/04/2025

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Directions to “EYE CENTER INC ” Practice Location

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