Organization Active NPI

Naples Eye Physicians, PA

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1265419626
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NAPLES EYE PHYSICIANS, PA
Practice address
661 Goodlette Rd N
Suite #105
Naples, FL 34102-5609
Phone
(239) 262-6288
Fax
(239) 262-5434
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Paul M. Rougraff, M.D.NPI 1831176288
Title
President
Phone
(239) 262-6288

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

661 Goodlette Rd N
Suite #105
Naples, FL 34102-5609

Mailing address

661 Goodlette Rd N
Suite #105
Naples, FL 34102-5609
Phone (239) 262-6288

Other names 1

  • Poeltl and Rougraff, MD, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000935 FL Part B Supplier - Clinic/Group Practice 8022087741 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

616 9th St N
Naples, FL 34102
Phone (239) 262-6288

Practitioners & affiliated clinicians

Practitioners 4

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1265419626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE #105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE #105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES EYE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "ROUGRAFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-262-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poeltl and Rougraff, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 24, 2014; 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.