Fort Myers Eye Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT MYERS EYE SURGERY CENTER LLC

Practice address

4790 Barkley Cir
Building C Unit 101
Fort Myers, FL 33907-7543

Phone

(239) 277-1778

Fax

(239) 277-1779

NPI assigned

Sep 15, 2009

Last updated

Feb 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Tyndall

Title

Administrator

Phone

(239) 791-0013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Fort Myers Eye Surgery Center LLCCCN 10C0001546

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1437482924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR",
            "address_2": "BUILDING C, UNIT 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077543",
            "telephone_number": "239-277-1778",
            "fax_number": "239-277-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR",
            "address_2": "BUILDING C UNIT 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077543",
            "telephone_number": "239-277-1778",
            "fax_number": "239-277-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "TYNDALL",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-791-0013"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Myers Dermatopathology
• Fort Myers Dermatopathology PA
• Fort Myers Endoscopy Center LLC
• Fort Myers Eye Associates PA
• Fort Myers Eye Center Inc
• Fort Myers Family Medicine LLC
• Fort Myers FL Icf Opco LLC
• Fort Myers Gynecology, LLC
• Fort Myers Injury Center LLC
• Fort Myers Internal Medicine LLC

• Ambulatory Surgical Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.