Active NPI
Elite Vision Surgical Specialists LLC
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
National Provider Identifier
1073344313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.