Robert I Guda Opt PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2805 Issued in FL

Legal business name

ROBERT I GUDA OPT PA

Doing business as

Premier Optical Group

Practice address

6101 Pine Ridge Rd
Premier Optical Group
Naples, FL 34119

Phone

(239) 348-4370

Fax

(239) 348-4058

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert I Guda, ODNPI 1780696021

Title

President

Phone

(786) 325-1027

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Optical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert I Guda, OD

  • Optometrist
  • Naples, FL
  • NPI 1780696021
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1689894008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "PREMIER OPTICAL GROUP",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-348-4370",
            "fax_number": "239-348-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "PREMIER OPTICAL GROUP",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-348-4370",
            "fax_number": "239-348-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I GUDA OPT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "GUDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-325-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621208500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Optical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Naples, FL
• Providers in Naples, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.