Organization Active NPI

David a Mauro OD PA

  • Optometrist
  • Naples, FL
National Provider Identifier
1124170162
Registry record updated May 11, 2010
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001677 Issued in FL
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

Updated by the provider on May 11, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.