Active NPI
Gilbert Wayne Harris
- Ophthalmology Physician
- Sanibel, FL
National Provider Identifier
1740415173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME 0018027
- Practice address
- 4288 W Gulf Dr
Sanibel, FL 33957-5104 - Phone
- (239) 395-0850
- Fax
- (239) 395-0850
- NPI assigned
- May 29, 2009
- Last updated
- May 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME 0018027 | FL | Primary |
Addresses
Primary practice location
4288 W Gulf Dr
Sanibel, FL 33957-5104
Mailing address
4288 W Gulf Dr
Sanibel, FL 33957-5104
Phone (239) 395-0850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0018027 | FL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1740415173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4288 W GULF DR",
"city": "SANIBEL",
"state": "FL",
"postal_code": "339575104",
"telephone_number": "239-395-0850",
"fax_number": "239-395-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4288 W GULF DR",
"city": "SANIBEL",
"state": "FL",
"postal_code": "339575104",
"telephone_number": "239-395-0850",
"fax_number": "239-395-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "GILBERT",
"middle_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME 0018027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanibel, FL
- Edward P Lamotta MD PA
- Eye Physicians and Surgeons of Florida
- Joan Faris, RDN
- Andreia G Franco, LMT
- Keith Michael Halik, R.PH
- Laura Hatfield, RD, CSP, LD/N
- Health & Rehabilitation Consultants, Inc (Fyzical Therapy & Balance Centers)
- Health and Rehabilitation Consultants, Inc. (Homestead Physical Therapy)
- Chris Hionedes
- Christopher Holden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.