Organization Active NPI

Richard Sills O D P a

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1063528073
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1559 Issued in FL
Legal business name
RICHARD SILLS O D P A
Practice address
14821 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33912-4467
Phone
(239) 437-1844
Fax
(239) 437-1835
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Richard Sills, O.D.
Title
Optometrist
Phone
(239) 437-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 1559 FL Primary

Addresses

Primary practice location

14821 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33912-4467

Mailing address

14821 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33912-4467
Phone (239) 437-1844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1063528073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14821 BEN C PRATT/6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124467",
            "telephone_number": "239-437-1844",
            "fax_number": "239-437-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 BEN C PRATT/6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124467",
            "telephone_number": "239-437-1844",
            "fax_number": "239-437-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SILLS O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "239-437-1844",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.