Organization Active NPI

Optiexpress Inc

  • Eyewear Supplier
  • Cape Coral, FL
National Provider Identifier
1194073361
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC1595 Issued in FL
Legal business name
OPTIEXPRESS INC
Practice address
513 Cape Coral Pkwy W
Cape Coral, FL 33914-8507
Phone
(239) 541-2020
Fax
(239) 541-9300
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Dr. Michael James Witherington, OD
Title
Optometrist/Owner
Phone
(239) 541-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC1595 FL Primary

Addresses

Primary practice location

513 Cape Coral Pkwy W
Cape Coral, FL 33914-8507

Mailing address

513 Cape Coral Pkwy W
Cape Coral, FL 33914-8507
Phone (239) 541-2020

Other identifiers 1

IdentifierTypeStateIssuer
19010OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

513 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 291-3604

11170 Summerlin Square Dr
Fort Myers Beach, FL 33931
Phone (239) 985-0006

Practitioners & affiliated clinicians

Practitioners 2

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": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1194073361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CAPE CORAL PKWY W",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148507",
            "telephone_number": "239-541-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 CAPE CORAL PKWY W",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148507",
            "telephone_number": "239-541-2020",
            "fax_number": "239-541-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIEXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "WITHERINGTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "239-541-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "19010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2012; 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.