Organization Active NPI

Lumiere Cosmetic Vein Center P a

Doing business as Lumiere Cosmetic Vein Center

  • Surgery Physician
  • Cape Coral, FL
National Provider Identifier
1184180739
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LUMIERE COSMETIC VEIN CENTER P A
Doing business as
Lumiere Cosmetic Vein Center
Practice address
2546 Heydon LN Ste 2
Cape Coral, FL 33991-3550
Phone
(954) 732-6728
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Joseph Aaron Cipriano, DONPI 1891916789
Title
President
Phone
(239) 317-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2546 Heydon LN Ste 2
Cape Coral, FL 33991-3550

Mailing address

2546 Heydon LN Ste 2
Cape Coral, FL 33991-3550
Phone (239) 317-0333

Other names 1

  • Lumiere Cosmetic Vein Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190529002078 FL Part B Supplier - Clinic/Group Practice 3173866480 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

2546 Heydon Ln
Ste 2
Cape Coral, FL 33991
Phone (239) 317-0333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1184180739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 HEYDON LN STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913550",
            "telephone_number": "239-317-0333",
            "fax_number": "855-574-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 HEYDON LN STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913550",
            "telephone_number": "954-732-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIERE COSMETIC VEIN CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "CIPRIANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-317-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumiere Cosmetic Vein Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lumiere Cosmetic Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.