Active NPI
Kenneth Michael Emanuele, O.D.
- Optometrist
- Cape Coral, FL
National Provider Identifier
1497944300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0003000
- Practice address
- 1619 Del Prado Blvd S
Vision Center
Cape Coral, FL 33990-3713 - Phone
- (239) 772-5115
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0003000 | FL | Primary |
Addresses
Primary practice location
1619 Del Prado Blvd S
Vision Center
Cape Coral, FL 33990-3713
Mailing address
595 Peck Ave
Fort Myers, FL 33919-3121
Phone (239) 772-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC0003000 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of Florida | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1497944300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 PECK AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193121",
"telephone_number": "239-772-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 DEL PRADO BLVD S",
"address_2": "VISION CENTER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903713",
"telephone_number": "239-772-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUELE",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0003000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.