NPIMap

Organization Active NPI

Metro Medical Plaza Optical

  • Eyewear Supplier
  • Fort Myers, FL
National Provider Identifier
1801113725
Registry record updated May 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
METRO MEDICAL PLAZA OPTICAL
Practice address
13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327
Phone
(239) 334-2015
Fax
(239) 936-0047
NPI assigned
May 2, 2010
Last updated
May 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FLAMINGO ISLAND OPTICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2010

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

Authorized official

Name
Mr. Daniel Guillermo Acosta, L.D.O.NPI 1649260894
Title
Licensed Optician
Phone
(239) 334-2015

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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327

Mailing address

13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327
Phone (239) 334-2015

National Provider Directory

National Provider Directory
Tax ID family
Metro Medical Plaza Optical2 organizations share this tax ID, including this one
Part of
Metro Medical Plaza Optical

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1801113725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-334-2015",
            "fax_number": "239-936-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-334-2015",
            "fax_number": "239-936-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL PLAZA OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLAMINGO ISLAND OPTICIANS INC",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "239-334-2015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; 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.