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Palm Coast Eyewear, LLC

Eyewear Supplier in Bradenton, FL · enumerated 2007 · authorized official Lisa Nichols, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396960415

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Registry record

Entity type Organization (Type 2)
Legal business name Palm Coast Eyewear, LLC
Practice address 5601 21st Ave W, Suite C, Bradenton, FL, 34209
Fax (941) 794-3280
Enumeration date Apr 16, 2007
Last updated in NPPES May 8, 2008

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers · License DO1765 (FL) Primary

Authorized official

Name Lisa Nichols
Title Practice Manager

Other identifiers

Identifier Type State Issuer
DO1765 Other FL OPTICIAN LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Palm Coast Eyewear, LLC?
Palm Coast Eyewear, LLC is registered in NPPES as a Eyewear Supplier (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-08.