Organization Active NPI

Doctor Smith Eye Care PA

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1538415054
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3175 Issued in FL
Legal business name
DOCTOR SMITH EYE CARE PA
Practice address
1104 NE 2ND Ter
Cape Coral, FL 33909-2655
Phone
(239) 573-4742
Fax
(239) 573-6160
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Rodney J Smith, ODNPI 1639232762
Title
Owner
Phone
(239) 573-4742

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 OPC3175 FL Primary

Addresses

Primary practice location

1104 NE 2ND Ter
Cape Coral, FL 33909-2655

Mailing address

1104 NE 2ND Ter
Cape Coral, FL 33909-2655
Phone (239) 573-4742

National Provider Directory

National Provider Directory
Tax ID family
Doctor Smith Eyecare PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1538415054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 NE 2ND TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092655",
            "telephone_number": "239-573-4742",
            "fax_number": "239-573-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 NE 2ND TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092655",
            "telephone_number": "239-573-4742",
            "fax_number": "239-573-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR SMITH EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-573-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3175",
            "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 Sep 6, 2012; 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.