Organization Active NPI

Shawn Slattery, O.D., P.a.

Doing business as dba Vision ONE

  • Optometrist
  • Naples, FL
National Provider Identifier
1013187814
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2390 Issued in FL
Legal business name
SHAWN SLATTERY, O.D., P.A.
Doing business as
dba Vision ONE
Practice address
12707 Tamiami TRL E
Naples, FL 34113-8424
Phone
(239) 774-3937
Fax
(239) 774-2296
NPI assigned
Mar 7, 2008
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shawn Michael Slattery, O.D.
Title
President
Phone
(239) 774-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2390 FL Primary

Addresses

Primary practice location

12707 Tamiami TRL E
Naples, FL 34113-8424

Mailing address

12707 Tamiami TRL E
Naples, FL 34113-8424
Phone (239) 774-3937

Other names 1

  • dba Vision ONE Doing business as

National Provider Directory

National Provider Directory

Locations

12707 Tamiami Trl E
Naples, FL 34113
Phone (239) 774-3937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1013187814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138424",
            "telephone_number": "239-774-3937",
            "fax_number": "239-774-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138424",
            "telephone_number": "239-774-3937",
            "fax_number": "239-774-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN SLATTERY, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-774-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Vision ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.