Organization Active NPI

Frederick E. Soto, Jr., O.D., P.a.

  • Eyewear Supplier
  • Sarasota, FL
National Provider Identifier
1114192747
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC-001562 Issued in FL
Legal business name
FREDERICK E. SOTO, JR., O.D., P.A.
Practice address
2650 S Tamiami TRL
Sarasota, FL 34239-4531
Phone
(941) 953-3111
Fax
(941) 366-5670
NPI assigned
Apr 24, 2008
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Frederick E Soto Jr., O.D.
Title
President
Phone
(941) 953-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC-001562 FL Primary

Addresses

Primary practice location

2650 S Tamiami TRL
Sarasota, FL 34239-4531

Mailing address

2650 S Tamiami TRL
Sarasota, FL 34239-4531
Phone (941) 953-3111

Other identifiers 2

IdentifierTypeStateIssuer
T84115OtherCIGNA HEALTHCARE OF FLORIDA
0495470001OtherFLCIGNA GOVERNMENT SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1114192747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394531",
            "telephone_number": "941-953-3111",
            "fax_number": "941-366-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394531",
            "telephone_number": "941-953-3111",
            "fax_number": "941-366-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK E. SOTO, JR., O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-953-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC-001562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE OF FLORIDA",
            "identifier": "T84115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0495470001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.