Active NPI
Monica Acosta, L.D.O.
- Optician
- Fort Myers, FL
National Provider Identifier
1336493436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 6378
- Practice address
- 13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327 - Phone
- (239) 334-2105
- Fax
- (239) 936-0047
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | DO 6378 | FL | |
| Ophthalmic Assistant | 156FX1101X | |||
| Ocularist | 156FX1700X | |||
| Optician | 156FX1800X | DO 6378 | FL | Primary |
| Orthoptist | 156FX1900X |
Addresses
Primary practice location
13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327
Mailing address
13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327
Phone (239) 334-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 6378 | FL | MD | Contact Lens Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1336493436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13691 METRO PKWY",
"address_2": "SUITE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124327",
"telephone_number": "239-334-2105",
"fax_number": "239-936-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13691 METRO PKWY",
"address_2": "SUITE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124327",
"telephone_number": "239-334-2105",
"fax_number": "239-936-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "MONICA",
"credential": "L.D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "FL",
"license": "DO 6378",
"primary": false
},
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 6378",
"primary": true
},
{
"code": "156FX1900X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Orthoptist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 29, 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.