Active NPI
Frederick E. Soto, Jr., O.D., P.a.
- Eyewear Supplier
- Sarasota, FL
National Provider Identifier
1114192747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OPC-001562
- 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, 2009
- 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. Frederick E Soto Jr., O.D.
- Title
- President
- Phone
- (941) 953-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T84115 | Other | CIGNA HEALTHCARE OF FLORIDA | |
| 0495470001 | Other | FL | CIGNA GOVERNMENT SERVICES |
National Provider Directory
National Provider DirectoryNPI 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.