Active NPI
Vista Vision Eyecare 2, Inc.
- Optometrist
- Ft. Myers, FL
National Provider Identifier
1609092337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3580
- Legal business name
- VISTA VISION EYECARE 2, INC.
- Practice address
- 9918 Gulf Coast Main
Suite B100
Ft. Myers, FL 33913 - Phone
- (239) 482-6745
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel Enrique De la Torre, OD
- Title
- Optometrist
- Phone
- (305) 804-0476
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3580 | FL | Primary |
Addresses
Primary practice location
9918 Gulf Coast Main
Suite B100
Ft. Myers, FL 33913
Mailing address
13625 Eagle Ridge Dr Apt 334
Fort Myers, FL 33912-1882
Phone (305) 804-0476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407956048 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1407956048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609092337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13625 EAGLE RIDGE DR APT 334",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339121882",
"telephone_number": "305-804-0476",
"fax_number": "239-265-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9918 GULF COAST MAIN",
"address_2": "SUITE B100",
"city": "FT. MYERS",
"state": "FL",
"postal_code": "33913",
"telephone_number": "239-482-6745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA VISION EYECARE 2, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DE LA TORRE",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "305-804-0476",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407956048",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.