Active NPI
David a Mauro OD PA
- Optometrist
- Naples, FL
National Provider Identifier
1124170162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC001677
- Legal business name
- DAVID A MAURO OD PA
- Practice address
- 11225 Tamiami Trail North
Naples, FL 34110-1639 - Phone
- (239) 591-0110
- Fax
- (239) 591-0024
- NPI assigned
- Jan 18, 2007
- 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
- David A Mauro, OD
- Title
- President Secretary
- Phone
- (239) 513-0087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC001677 | FL | Primary |
Addresses
Primary practice location
11225 Tamiami Trail North
Naples, FL 34110-1639
Mailing address
2035 Castle Garden Lane
Naples, FL 34110-1093
Phone (239) 513-0087
National Provider Directory
National Provider DirectoryLocations
11225 Tamiami Trl N
Naples, FL 34110
Phone (239) 591-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1124170162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 CASTLE GARDEN LANE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101093",
"telephone_number": "239-513-0087",
"fax_number": "239-513-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 TAMIAMI TRAIL NORTH",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101639",
"telephone_number": "239-591-0110",
"fax_number": "239-591-0024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A MAURO OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "MAURO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT SECRETARY",
"authorized_official_telephone_number": "239-513-0087",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC001677",
"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 May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.