Active NPI
Ashley Jean Glivic, O.D.
- Optometrist
- Naples, FL
National Provider Identifier
1124451968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4828
- Practice address
- 2191 21St St SW
Naples, FL 34117-4607 - Phone
- (239) 249-9931
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4828 | FL | Primary |
Addresses
Primary practice location
2191 21St St SW
Naples, FL 34117-4607
Mailing address
2191 21St St SW
Naples, FL 34117-4607
Phone (239) 249-9931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4828 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Eye Vision LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Locations
706 SW Pine Island Rd
Unit 102
Cape Coral, FL 33991
Phone (239) 387-5775
6891 Daniels Pkwy
Ste 140
Fort Myers, FL 33912
Phone (239) 243-8892
1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Cape Coral, FL
- NPI 1134909997
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1124451968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 21ST ST SW",
"city": "NAPLES",
"state": "FL",
"postal_code": "341174607",
"telephone_number": "239-249-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 21ST ST SW",
"city": "NAPLES",
"state": "FL",
"postal_code": "341174607",
"telephone_number": "239-249-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIVIC",
"first_name": "ASHLEY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4828",
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.