Individual provider Active NPI

Nicholas John Toffoli, OD

  • Optometrist
  • Osprey, FL
National Provider Identifier
1376795187
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC004390 Issued in FL
Practice address
13140 S Tamiami TRL
Osprey, FL 34229
Phone
(941) 918-8633
NPI assigned
Oct 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC004390 FL
Optometrist 152W00000X OPC004390 FL Primary

Addresses

Primary practice location

13140 S Tamiami TRL
Osprey, FL 34229

Mailing address

1176 Banter Cir
North Port, FL 34288-4805
Phone (954) 937-3759

Other practice location 1

1176 Banter Circle
North Port, FL 34288
Phone (954) 937-3759

Other practice location 2

2911 53rd Ave E
Bradenton, FL 34203-4312
Phone (941) 753-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000253 FL Practitioner - Optometry 0749343242 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC004390FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Biscayne Optometry, Inc Optometrist CurrentSince Apr 19, 2020 Accepting new patients
Gulf Coast Optometry, PA Corneal and Contact Management CurrentSince Nov 22, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients
Frank a. Broome Jr O.D. Optometrist Past Accepting new patients
National Vision, Inc. PastSince Nov 22, 2021 Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2911 53rd Ave E
Bradenton, FL 34203
Phone (941) 752-0802

1918 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3882

22907 Lyden Dr
Estero, FL 33928
Phone (239) 908-5453

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

13140 S Tamiami Trl
Osprey, FL 34229
Phone (941) 918-1247

2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1376795187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 BANTER CIR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342884805",
            "telephone_number": "954-937-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "34229",
            "telephone_number": "941-918-8633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 Banter Circle",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "34288",
            "country_code": "US",
            "telephone_number": "954-937-3759",
            "fax_number": "386-253-1193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2911 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342034312",
            "country_code": "US",
            "telephone_number": "941-753-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOFFOLI",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC004390",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

Verify at the official NPI Registry.