Eyecare Partners of Southwest Florida LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC 1957 Issued in FL

Legal business name

EYECARE PARTNERS OF SOUTHWEST FLORIDA LLC

Practice address

5265 University Pkwy
Unit 101
University Park, FL 34201-3000

Phone

(941) 441-7581

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Charles Robert Putrino II, O.D.

Title

Owner, Sole Member

Phone

(941) 441-7581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1689904666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 UNIVERSITY PKWY",
            "address_2": "UNIT 101",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013000",
            "telephone_number": "941-441-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 UNIVERSITY PKWY",
            "address_2": "UNIT 101",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013000",
            "telephone_number": "941-441-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PARTNERS OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "PUTRINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "941-441-7581",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.