NPIMap

Organization Active NPI

Eye Centers of Florida

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1831286202
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME11076 Issued in FL
Legal business name
EYE CENTERS OF FLORIDA
Practice address
4101 Evans Ave
Fort Myers, FL 33901-9310
Phone
(239) 939-3456
Fax
(239) 790-2432
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
David C Brown
Title
Ceo President
Phone
(239) 939-3456

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME11076 FL Primary

Addresses

Primary practice location

4101 Evans Ave
Fort Myers, FL 33901-9310

Mailing address

4101 Evans Ave
Fort Myers, FL 33901-9310
Phone (239) 939-3456

Other practice location 1

1940 Tamiami Trl Ste 103
Port Charlotte, FL 33948-2105
Phone (941) 743-3125

Other practice location 2

877 111th Ave N Ste 2
Naples, FL 34108-1853
Phone (239) 591-2949

Other practice location 3

17966 N Tamiami Trl Ste 160
North Fort Myers, FL 33903-1414
Phone (239) 543-3336

Other practice location 4

3507 Lee Blvd Ste 104
Lehigh Acres, FL 33971-1303
Phone (239) 369-5884

Other practice location 5

870 W Hickpochee Ave Ste 1300
LaBelle, FL 33935-4318
Phone (863) 674-0460

Other practice location 6

13220 N 15th street
Immokalee, FL 34142
Phone (239) 657-4486

Other practice location 7

2500 Tamiami Trl N Ste 109
Naples, FL 34103-4421
Phone (239) 263-2700

Other practice location 8

26831 S Tamiami Trl Unit 47
Bonita Springs, FL 34134-7818
Phone (239) 992-1422

Other practice location 9

2301 Del Prado Blvd S Ste 820
Cape Coral, FL 33990-6624
Phone (239) 574-4443

Other practice location 10

820 W Sugarland Hwy
Clewiston, FL 33440-2700
Phone (863) 983-9105

Other identifiers 1

IdentifierTypeStateIssuer
040587600MedicaidFL

National Provider Directory

National Provider Directory

Locations

820 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 983-9105

870 W Hickpochee Ave
Ste 1300
Labelle, FL 33935
Phone (863) 674-0460

17966 N Tamiami Trl
Ste 109
North Fort Myers, FL 33903

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1831286202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "239-939-3456",
            "fax_number": "239-790-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "239-939-3456",
            "fax_number": "239-790-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Tamiami Trl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339482105",
            "country_code": "US",
            "telephone_number": "941-743-3125",
            "fax_number": "941-743-5158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 111th Ave N Ste 2",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341081853",
            "country_code": "US",
            "telephone_number": "239-591-2949",
            "fax_number": "239-254-1921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17966 N Tamiami Trl Ste 160",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339031414",
            "country_code": "US",
            "telephone_number": "239-543-3336",
            "fax_number": "239-335-1989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3507 Lee Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339711303",
            "country_code": "US",
            "telephone_number": "239-369-5884",
            "fax_number": "239-369-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 W Hickpochee Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339354318",
            "country_code": "US",
            "telephone_number": "863-674-0460",
            "fax_number": "863-674-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13220 N 15th street",
            "address_purpose": "LOCATION",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "34142",
            "country_code": "US",
            "telephone_number": "239-657-4486",
            "fax_number": "239-657-4770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Tamiami Trl N Ste 109",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341034421",
            "country_code": "US",
            "telephone_number": "239-263-2700",
            "fax_number": "239-263-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26831 S Tamiami Trl Unit 47",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341347818",
            "country_code": "US",
            "telephone_number": "239-992-1422",
            "fax_number": "239-369-5884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Del Prado Blvd S Ste 820",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339906624",
            "country_code": "US",
            "telephone_number": "239-574-4443",
            "fax_number": "239-574-1374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 W Sugarland Hwy",
            "address_purpose": "LOCATION",
            "city": "Clewiston",
            "state": "FL",
            "postal_code": "334402700",
            "country_code": "US",
            "telephone_number": "863-983-9105",
            "fax_number": "863-983-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CENTERS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "239-939-3456"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040587600",
            "state": "FL"
        }
    ],
    "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 Aug 5, 2019; 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.