Organization Active NPI

20/20 Optical Inc

  • Optician
  • Fort Myers, FL
National Provider Identifier
1811237845
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5670 Issued in FL
Legal business name
20/20 OPTICAL INC
Practice address
2336 Cleveland Ave
Fort Myers, FL 33901-3540
Phone
(239) 288-7450
Fax
(239) 288-7451
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Elier Gonzalez
Title
Owner
Phone
(239) 288-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X DO5670 FL Primary

Addresses

Primary practice location

2336 Cleveland Ave
Fort Myers, FL 33901-3540

Mailing address

2336 Cleveland Ave
Fort Myers, FL 33901-3540
Phone (239) 288-7450

National Provider Directory

National Provider Directory

Locations

2336 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 205-7006

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1811237845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-288-7450",
            "fax_number": "239-288-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-288-7450",
            "fax_number": "239-288-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-288-7450"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5670",
            "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 Feb 28, 2013; 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.