Organization Active NPI

Ullah Eye Care LLC

  • Optometrist
  • Naples, FL
National Provider Identifier
1104642453
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ULLAH EYE CARE LLC
Practice address
6650 Collier Blvd
Naples, FL 34114-8125
Phone
(239) 331-0830
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Roheeda Ullah, ODNPI 1851915318
Title
Doctor/Optometrist
Phone
(239) 331-0830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6650 Collier Blvd
Naples, FL 34114-8125

Mailing address

261 Pine Valley Cir
Naples, FL 34113-7623
Phone (239) 331-0830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250121000060 FL Part B Supplier - Clinic/Group Practice 7012446198 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

6650 Collier Blvd
Naples, FL 34114
Phone (239) 417-2067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1104642453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 PINE VALLEY CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137623",
            "telephone_number": "239-331-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148125",
            "telephone_number": "239-331-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULLAH EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "ULLAH",
        "authorized_official_first_name": "ROHEEDA",
        "authorized_official_title_or_position": "DOCTOR/OPTOMETRIST",
        "authorized_official_telephone_number": "239-331-0830",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.