Active NPI
20/20 Optical Inc
- Optician
- Fort Myers, FL
National Provider Identifier
1811237845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5670
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 DirectoryLocations
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.