Richard M Davis MD PA

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0000176 Issued in FL

Legal business name

RICHARD M DAVIS MD PA

Doing business as

Cypress Lake Eyewear

Practice address

9201 Cypress Lake Dr
Fort Myers, FL 33919-4941

Phone

(239) 481-8171

Fax

(239) 482-5227

NPI assigned

Nov 3, 2005

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

RICHARD M DAVIS MD PAAs reported in NPPES

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

Authorized official

Name

Mr. Richard M Davis, MDNPI 1750379277

Title

President

Phone

(239) 481-3343

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Cypress Lake Eyewear Doing business as

Part of

Cypress Lake Eyewear in

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Richard M Davis MD PA

  dba South Fort Myers Eye Care & Cataract Center

  • Specialist
  • Fort Myers, FL
  • NPI 1023006640
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard M Davis, MD

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1750379277
  NPD (past) Authorized official

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1235120619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194941",
            "telephone_number": "239-481-8171",
            "fax_number": "239-482-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194941",
            "telephone_number": "239-481-8171",
            "fax_number": "239-482-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M DAVIS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD M DAVIS MD PA",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-481-3343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "0000176",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "000176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "18778423210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D MERC",
            "identifier": "0499890001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "6924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Lake Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulina Christine Rice
• Vivian Ann Rice, AP
• Elzbieta Ricetti, CSTFA
• Darell Roy Rich, D.C.
• Richard M Davis MD PA (South Fort Myers Eye Care & Cataract Center)
• Richard Sills O D P a
• Richard W. Haley, Inc.
• Richardo S Bocanegra DDS PA
• Benjamin Richards, DMD
• John M. Richards, DDS, MS

• Optician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.