NPIMap

Organization Active NPI

Vanderbilt Optical

  • Optometrist
  • Naples, FL
National Provider Identifier
1477061927
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VANDERBILT OPTICAL
Practice address
823 Vanderbilt Beach Rd
Naples, FL 34108-8701
Phone
(239) 643-1724
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Jason EugenidesNPI 1265574578
Title
Owner
Phone
(239) 643-1724

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

823 Vanderbilt Beach Rd
Naples, FL 34108-8701

Mailing address

823 Vanderbilt Beach Rd
Naples, FL 34108-8701

National Provider Directory

National Provider Directory

Locations

823 Vanderbilt Beach Rd
Naples, FL 34108
Phone (239) 643-1724

Practitioners & affiliated clinicians

Practitioners 1

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1477061927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088701",
            "telephone_number": "239-643-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "EUGENIDES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-643-1724"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.