Individual provider Active NPI

Richard Allan Sills, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1194994046
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1559 Issued in FL
Practice address
14821 Six Mile Cypress Pkwy
Fort Myers, FL 33912-4467
Phone
(239) 437-1844
Fax
(239) 437-1835
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1559 FL Primary

Addresses

Primary practice location

14821 Six Mile Cypress Pkwy
Fort Myers, FL 33912-4467

Mailing address

14821 Six Mile Cypress Pkwy
Fort Myers, FL 33912-4467
Phone (239) 437-1844

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001002 FL Practitioner - Optometry 7719011022 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1559FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 31, 2024 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist Past Accepting new patients
National Vision, Inc. PastSince Jan 31, 2024 Accepting new patients

Locations

9370 6 Mile Cypress Pkwy
Fort Myers, FL 33966
Phone (239) 895-0932

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

4790 Barkley Cir
Ste C103
Fort Myers, FL 33907
Phone (239) 936-8686

4790 Barkley Cir
Bldg C
Fort Myers, FL 33907
Phone (239) 936-8686

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1194994046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14821 SIX MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124467",
            "telephone_number": "239-437-1844",
            "fax_number": "239-437-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 SIX MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124467",
            "telephone_number": "239-437-1844",
            "fax_number": "239-437-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.