Daniel G Acosta, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO4769 Issued in FL

Practice address

13691 Metro Pkwy Ste 100
Fort Myers, FL 33912-4348

Phone

(239) 334-2015

Fax

(239) 936-0047

NPI assigned

Oct 27, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Optical Services

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1205180304
  NPD Authorized official
• Metro Medical Plaza Optical

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1801113725
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649260894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PARKWAY",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339128125",
            "telephone_number": "239-334-2015",
            "fax_number": "239-936-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124348",
            "telephone_number": "239-334-2015",
            "fax_number": "239-936-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11902 Bonita Beach Rd SE",
            "address_2": "#9-10B-RED",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341355913",
            "country_code": "US",
            "telephone_number": "239-565-6342",
            "fax_number": "239-495-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "DANIEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "L.D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "FL",
            "license": "DO4769",
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "FL",
            "license": "DO4769",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achievement Therapies & Care Services, Corp.
• Jennifer Kristen Ackerman, MSED
• Sabrina Kim Ackerman, CRNA
• Jose A Acosta Fernandez
• Yariza Acosta Pastrana
• Gilberto Acosta, M.D.
• Juan Acosta, DMD
• Mercedes Caridad Acosta, ARNP
• Monica Acosta, L.D.O.
• Yamilet Acosta

• Optician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.