Organization Active NPI

Association of Ophthalmology

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1073821138
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36137 Issued in FL
Legal business name
ASSOCIATION OF OPHTHALMOLOGY
Practice address
3949 Evans Ave
Suite 106
Fort Myers, FL 33901-9341
Phone
(239) 939-1345
Fax
(239) 939-3675
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Clinton N Sims, MD
Title
Owner
Phone
(239) 939-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 36137 FL Primary

Addresses

Primary practice location

3949 Evans Ave
Suite 106
Fort Myers, FL 33901-9341

Mailing address

3949 Evans Ave
Suite 106
Fort Myers, FL 33901-9335
Phone (239) 939-1345

Other identifiers 1

IdentifierTypeStateIssuer
043448500MedicaidFL

Other names 1

  • C Norton Sims MD PA Other name

National Provider Directory

National Provider Directory

Locations

3949 Evans Ave
Ste 106
Fort Myers, FL 33901
Phone (239) 939-1345

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1073821138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE",
            "address_2": "SUITE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019335",
            "telephone_number": "239-939-1345",
            "fax_number": "239-939-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE",
            "address_2": "SUITE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019341",
            "telephone_number": "239-939-1345",
            "fax_number": "239-939-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-939-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "36137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043448500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C Norton Sims MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 10, 2012; 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.