Organization Active NPI

Gorovoy MD Eye Specialists

  • Eyewear Supplier
  • Fort Myers, FL
National Provider Identifier
1396858098
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
840342 Issued in FL
Legal business name
GOROVOY MD EYE SPECIALISTS
Practice address
12381 S Cleveland Ave
Suite #300
Fort Myers, FL 33907-3893
Phone
(239) 939-1444
Fax
(239) 936-7710
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Mark S. Gorovoy, M.D.NPI 1043213051
Title
President
Phone
(239) 939-1444

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
Eyewear Supplier 332H00000X 840342 FL Primary

Addresses

Primary practice location

12381 S Cleveland Ave
Suite #300
Fort Myers, FL 33907-3893

Mailing address

12381 S Cleveland Ave
Suite #300
Fort Myers, FL 33907-3893
Phone (239) 939-1444

Other names 1

  • Optical Shop Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2179635Gorovoy MD Eye Specialists12381 South Cleveland Ave Suite 300, Fort Myers, FL 33907Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

12381 S Cleveland Ave
Ste 300
Fort Myers, FL 33907
Phone (239) 939-1444

Practitioners & affiliated clinicians

Practitioners 4

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1396858098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12381 S CLEVELAND AVE",
            "address_2": "SUITE #300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073893",
            "telephone_number": "239-939-1444",
            "fax_number": "239-936-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12381 S CLEVELAND AVE",
            "address_2": "SUITE #300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073893",
            "telephone_number": "239-939-1444",
            "fax_number": "239-936-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOROVOY MD EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "GOROVOY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-939-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "840342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.