Active NPI
Richard McCoy, LDO
- Optician
- Fort Myers, FL
National Provider Identifier
1578972378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 1746
- Practice address
- 1850 Boy Scout Dr
Unit 107
Fort Myers, FL 33907-2127 - Phone
- (239) 931-0136
- Fax
- (239) 931-0910
- NPI assigned
- Aug 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO 1746 | FL | Primary |
Addresses
Primary practice location
1850 Boy Scout Dr
Unit 107
Fort Myers, FL 33907-2127
Mailing address
1850 Boy Scout Dr
Unit 107
Fort Myers, FL 33907-2127
Phone (239) 931-0136
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 |
|---|---|---|---|
| DO 1746 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions Unlimited Ophthalmic, LLC | 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.
-
- Eyewear Supplier
- Fort Myers, FL
- NPI 1710394085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1578972378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 BOY SCOUT DR",
"address_2": "UNIT 107",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072127",
"telephone_number": "239-931-0136",
"fax_number": "239-931-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BOY SCOUT DR",
"address_2": "UNIT 107",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072127",
"telephone_number": "239-931-0136",
"fax_number": "239-931-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "RICHARD",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 1746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.