Austin WM Coleman, DO, PA

Key facts

NPI

1497797930

Entity type

Organization (NPI type 2)

Primary specialty

Ophthalmology Physician 207W00000X

License

OS8806 (FL)

Legal business name

AUSTIN WM COLEMAN, DO, PA

Practice address

3880 Tamiami TRL N
Naples, FL 34103-3504

Phone

(239) 659-3937

Fax

(239) 659-3952

NPI assigned

Jun 11, 2006

Organization subpart

No

Authorized official

Name

Austin W Coleman, DO NPI 1861420556

Title

Owner

Phone

(239) 597-2792

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin W Coleman, DO Ophthalmology Physician · Naples, FL · NPI 1861420556
  Medicare reassignment NPD Authorized official FL · OPHTHALMOLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2024.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1497797930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033504",
            "telephone_number": "239-659-3937",
            "fax_number": "239-659-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033504",
            "telephone_number": "239-659-3937",
            "fax_number": "239-659-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361119",
            "country_code": "US",
            "telephone_number": "305-243-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUSTIN WM COLEMAN, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-597-2792",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS8806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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