NPIMap

Organization Active NPI

Ideal Image

  • Clinic/Center
  • Naples, FL
National Provider Identifier
1083008437
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9286385 Issued in FL
Legal business name
IDEAL IMAGE
Practice address
1485 Pine Ridge Rd
Naples, FL 34109-2114
Phone
(239) 596-2005
Fax
(239) 596-1090
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Ms. Emily Laeser, ARNP
Title
Nurse Practitioner
Phone
(239) 596-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9286385 FL Primary

Addresses

Primary practice location

1485 Pine Ridge Rd
Naples, FL 34109-2114

Mailing address

1485 Pine Ridge Rd
Naples, FL 34109-2114
Phone (239) 596-2005

National Provider Directory

National Provider Directory
Tax ID family
Ideal Image3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1083008437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092114",
            "telephone_number": "239-596-2005",
            "fax_number": "239-596-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092114",
            "telephone_number": "239-596-2005",
            "fax_number": "239-596-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL IMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "LAESER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "239-596-2005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "9286385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.