Eye Site of Cape Coral PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME36184 Issued in FL

Legal business name

EYE SITE OF CAPE CORAL PA

Practice address

613 Del Prado Blvd S
Cape Coral, FL 33990-2611

Phone

(239) 772-2122

Fax

(239) 772-8183

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Everett Croley III, MDNPI 1295799849

Title

President

Phone

(239) 772-2122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cataract & Refractive Institute of Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tropical Eye Fashions, Inc.

  • Eyewear Supplier
  • Cape Coral, FL
  • NPI 1427251321

  Member Of

  NPD member

Locations

Practitioners 2

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

• James Everett Croley III, MD

  • Ophthalmology Physician
  • Cape Coral, FL
  • NPI 1295799849
  Medicare reassignment Care Compare group NPD Authorized official
• Jyotin Pandit, MD

  • Neuro-ophthalmology Physician
  • Bonita Springs, FL
  • NPI 1396563300
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1740344662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902611",
            "telephone_number": "239-772-2122",
            "fax_number": "239-772-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902611",
            "telephone_number": "239-772-2122",
            "fax_number": "239-772-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE OF CAPE CORAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "CROLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-772-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME36184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039763600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract & Refractive Institute of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excellent Medical Transport
• Experience Family Chiropractic
• Yamilys Exposito
• Express Med Supply Inc
• Eye Associates of Manatee LLP
• Eyecare Associates of Southwest Florida, PLLC
• Jessica Fabian
• Maria C Fabregas Suarez
• Nicholas Fadoir
• Ana Rita Falcon, RBT-20-124760

• Ophthalmology Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.