Active NPI
Caloosa Eye Center PA
- Ophthalmology Physician
- Fort Myers, FL
National Provider Identifier
1376581959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Parna Shenoy, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Fort Myers, FL
- NPI 1750329330
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.