Active NPI
Association of Ophthalmology
- Ophthalmology Physician
- Fort Myers, FL
National Provider Identifier
1073821138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36137
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043448500 | Medicaid | FL |
Other names 1
- C Norton Sims MD PA
National Provider Directory
National Provider DirectoryLocations
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
- Associates in Medicine & Surgery LLC
- Associates in Medicine & Surgery LLC
- Associates in Neonatology, P.a.
- Associates in Nephrology Butcher & Devacaanthan MD PA (Associates in Nephrology)
- Associates in Neurological Care of Lee County
- Jacquelyn Ann Asteberg, PTA
- Anthony Aswad, DO
- Stephanie Atallah
- Carleather Atkins
- Marisol Camille Atkinson-Reno, LPN
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.