E Trevor Elmquist D O P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS4402 Issued in FL

Legal business name

E TREVOR ELMQUIST D O P A

Practice address

7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855

Phone

(239) 936-2020

Fax

(239) 936-2776

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Trevor Elmquist, D.O.

Title

Owner

Phone

(239) 936-2020

Specialties & licenses 1

Addresses

Other names 1

• Elmquist Eye Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Nina Giselle Burt, OD

  • Optometrist
  • Fort Myers, FL
  • NPI 1780754622
  Medicare reassignment Care Compare group NPD
• Yasaira Rodriguez-Torres, MD

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1205290079
  Medicare reassignment Care Compare group NPD
• Kate Wagner, O.D.

  • Optometrist
  • Fort Myers, FL
  • NPI 1861451155
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1750437786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2776 Surfside Blvd.",
            "address_2": "Suite 121",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913176",
            "country_code": "US",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Arbor Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339082865",
            "country_code": "US",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E TREVOR ELMQUIST D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "ELMQUIST",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-936-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmquist Eye Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elmquist Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Dental Health Associates of Florida, PA
• Dynamic Mobile Rehab LLC
• Dynamiks Home Care Inc
• Konstantin Dzamashvili, MD
• E Medical Group of Florida No. 3, LLC
• E. Gonzalez MD PA
• Elizabeth Marie Eads, DNP-FNP
• Eagleridge Operations, LLC
• Eagles Housing Group LLC
• Eap Consultants Inc

• Ophthalmology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.