NPIMap

Organization Active NPI

Full Spectrum Family Vision Care PA

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
National Provider Identifier
1295900728
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OPC3636 Issued in FL
Legal business name
FULL SPECTRUM FAMILY VISION CARE PA
Practice address
1224 Del Prado Blvd S
Suite a
Cape Coral, FL 33990-3686
Phone
(239) 745-5050
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Heather L Trapheagen, OD
Title
Optometrist/President
Phone
(239) 745-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OPC3636 FL Primary

Addresses

Primary practice location

1224 Del Prado Blvd S
Suite a
Cape Coral, FL 33990-3686

Mailing address

1722 SE 2ND St
Cape Coral, FL 33990-5303
Phone (239) 745-5050

National Provider Directory

National Provider Directory
Tax ID family
Full Spectrum Family Vision Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1295900728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SE 2ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905303",
            "telephone_number": "239-745-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 DEL PRADO BLVD S",
            "address_2": "SUITE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903686",
            "telephone_number": "239-745-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM FAMILY VISION CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "TRAPHEAGEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "239-745-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OPC3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 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.