Ultimate Eye Care PA

Key facts

NPI

1326469669

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

2418 (FL)

Legal business name

ULTIMATE EYE CARE PA

Practice address

1700 Tamiami TRL Unit G7
Port Charlotte, FL 33948-1048

Phone

(941) 625-5359

Fax

(941) 625-5420

NPI assigned

Jan 3, 2014

Organization subpart

No

Authorized official

Name

Keith M Thompson

Title

OD

Phone

(941) 625-5359

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamey Karr, DO 5419 Optician · Port Charlotte, FL · NPI 1891505277
  NPD

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2021.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1326469669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TAMIAMI TRL UNIT G7",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481048",
            "telephone_number": "941-625-5359",
            "fax_number": "941-625-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TAMIAMI TRL UNIT G7",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481048",
            "telephone_number": "941-625-5359",
            "fax_number": "941-625-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 US Highway 41 Byp",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342856040",
            "country_code": "US",
            "telephone_number": "941-786-9733",
            "fax_number": "941-800-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342326402",
            "country_code": "US",
            "telephone_number": "941-487-7697",
            "fax_number": "941-706-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ULTIMATE EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "941-625-5359"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

• Matthew C Tufts, M.D.
• Paul Edward Tuma
• Ed Tyburski, COTA
• Elena Ugorets
• Lainey Elizabeth Ulrich, PTA
• Ultimate Wellness Rehab LLC
• Ime Umana
• Jeffery Shawn Underwood, OTR
• Unity Respiratory and Diabetic Inc
• Alicia Ann Uselmann, LCSW

All providers in Port Charlotte, FL · Optometrist in Florida