Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Palm Coast Eyewear, LLC

Organization Eyewear Supplier · NPI 1396960415

Palm Coast Eyewear, LLC is an Eyewear Supplier in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5601 21st Ave W Ste C
Bradenton, FL 34209-5642
Phone: (941) 794-1001
Fax: (941) 794-3280
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence DO1765 (FL)

Record details

NPI number1396960415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Nichols — Practice Manager · (941) 794-2020
NPI enumeratedApril 16, 2007
Last updated in NPPESMay 8, 2008
Mailing address5601 21st Ave W, Suite C, Bradenton, FL 34209-5642

Other providers in Bradenton