David E Poeltl, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME57757 Issued in FL

Practice address

661 Goodlette Rd N
Ste 105
Naples, FL 34102-5609

Phone

(239) 262-6288

Fax

(239) 262-5434

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Naples Eye Physicians Optical Shop, Inc

  • Eyewear Supplier
  • Naples, FL
  • NPI 1700073699
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1467439810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "STE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "STE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELTL",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME57757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keegan Todd Plowman, MD
• Gillian N Plummer-Molina, DMD
• Kenneth Webb Plunkitt, M.D.
• Luga Podesta, M.D.
• Andrew P Podos, M.D.
• Poinciana Home Care Inc
• Sarah Poindexter, OTR/L
• Lea Rose Cura Pokhan
• Alicia Pokhoy
• Cassandra Polanco

• Ophthalmology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.