Organization Active NPI

Elite Vision Surgical Specialists LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1073344313
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ELITE VISION SURGICAL SPECIALISTS LLC
Practice address
7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855
Phone
(239) 936-2020
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Yasaira Rodriguez Torres
Title
Medical Director
Phone
(239) 936-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855

Mailing address

7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855
Phone (239) 936-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1073344313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION SURGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ TORRES",
        "authorized_official_first_name": "YASAIRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-936-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 1, 2024; 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.