Organization Active NPI

Cape Coral Eye Center

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1316202070
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3656 Issued in FL
Legal business name
CAPE CORAL EYE CENTER
Practice address
8004 Vintage Pkwy
Fort Myers, FL 33967-5512
Phone
(239) 542-2020
Fax
(239) 541-1492
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Farrell C Tyson II, MDNPI 1508857491
Title
Medical Director/Owner
Phone
(239) 542-2020

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC3656 FL Primary

Addresses

Primary practice location

8004 Vintage Pkwy
Fort Myers, FL 33967-5512

Mailing address

PO Box 101427
Cape Coral, FL 33910-1427
Phone (239) 542-2020

Other names 1

  • Tyson Eye Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Surgery Laser Cen10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

8004 Vintage Pkwy
Estero, FL 33967

Practitioners & affiliated clinicians

Practitioners 5

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": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1316202070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101427",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339101427",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 VINTAGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675512",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "239-542-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyson Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.