NPIMap

Organization Active NPI

Cape Coral Eye Center, P.a.

Doing business as Tyson Eye

  • Optometrist
  • Naples, FL
National Provider Identifier
1750794897
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ME81910 Issued in FL
Legal business name
CAPE CORAL EYE CENTER, P.A.
Doing business as
Tyson Eye
Practice address
4085 Tamiami TRL N Ste B103
Naples, FL 34103-3588
Phone
(239) 542-2020
Fax
(239) 541-1492
NPI assigned
Jun 6, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Farrell C Tyson, MDNPI 1508857491
Title
Medical Director/ Owner
Phone
(239) 542-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X ME81910 FL Primary

Addresses

Primary practice location

4085 Tamiami TRL N Ste B103
Naples, FL 34103-3588

Mailing address

PO Box 101427
Cape Coral, FL 33910-1427
Phone (239) 542-2020

Other names 1

  • Tyson Eye Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Surgery Laser Cente10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4085 Tamiami Trl N
Ste B103
Naples, FL 34103
Phone (239) 262-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1750794897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101427",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339101427",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 TAMIAMI TRL N STE B103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033588",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL EYE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "239-542-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "ME81910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyson Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2014; 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.