Organization Active NPI

Caloosa Eye Center PA

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1376581959
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CALOOSA EYE CENTER PA
Practice address
1560 Matthew Dr
Suite G
Fort Myers, FL 33907-1702
Phone
(239) 278-4733
Fax
(239) 278-4730
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Parna Shenoy, MDNPI 1750329330
Title
Owner
Phone
(239) 278-4733

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1560 Matthew Dr
Suite G
Fort Myers, FL 33907-1702

Mailing address

1560 Matthew Dr
Suite G
Fort Myers, FL 33907-1702
Phone (239) 278-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000642 FL Part B Supplier - Clinic/Group Practice 9133208614 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

1560 Matthew Dr
Ste G
Fort Myers, FL 33907
Phone (239) 278-4733

Practitioners & affiliated clinicians

Practitioners 1

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1376581959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 MATTHEW DR",
            "address_2": "SUITE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071702",
            "telephone_number": "239-278-4733",
            "fax_number": "239-278-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 MATTHEW DR",
            "address_2": "SUITE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071702",
            "telephone_number": "239-278-4733",
            "fax_number": "239-278-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALOOSA EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SHENOY",
        "authorized_official_first_name": "PARNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-278-4733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.