NPIMap

Organization Active NPI

Ultimate Eye Care PA

  • Optometrist
  • Port Charlotte, FL
National Provider Identifier
1326469669
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2418 Issued in 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
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Keith M ThompsonNPI 1023185386
Title
OD
Phone
(941) 625-5359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2418 FL Primary

Addresses

Primary practice location

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

Mailing address

1700 Tamiami TRL Unit G7
Port Charlotte, FL 33948-1048
Phone (941) 625-5359

Other practice location 1

543 US Highway 41 Byp
Venice, FL 34285-6040
Phone (941) 786-9733

Other practice location 2

5325 Fruitville Rd
Sarasota, FL 34232-6402
Phone (941) 487-7697

National Provider Directory

National Provider Directory

Locations

1700 Tamiami Trl
Unit G7
Port Charlotte, FL 33948
Phone (941) 625-5359

543 US Highway 41 Byp N
Venice, FL 34285
Phone (941) 786-9733

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.