NPIMap

Organization Active NPI

Naples Eye Physicians Optical Shop, Inc

  • Eyewear Supplier
  • Naples, FL
National Provider Identifier
1700073699
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
NAPLES EYE PHYSICIANS OPTICAL SHOP, INC
Practice address
661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609
Phone
(239) 435-0645
Fax
(239) 262-5434
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Paul M Rougraff, M.D.NPI 1831176288
Title
Vice President
Phone
(239) 262-6288

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609

Mailing address

661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609
Phone (239) 435-0645

National Provider Directory

National Provider Directory

Locations

661 Goodlette Rd
Ste 105
Naples, FL 34102
Phone (239) 262-6288

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1700073699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-435-0645",
            "fax_number": "239-262-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-435-0645",
            "fax_number": "239-262-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES EYE PHYSICIANS OPTICAL SHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ROUGRAFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-262-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.