Organization Active NPI

Frederick E. Soto, Jr., O.D., P.a.

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1831412402
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC-001562 Issued in FL
Legal business name
FREDERICK E. SOTO, JR., O.D., P.A.
Practice address
2650 S Tamiami TRL
Sarasota, FL 34239-4531
Phone
(941) 953-3111
Fax
(941) 366-5670
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Frederick E. Soto Jr., O.D.
Title
President
Phone
(941) 953-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC-001562 FL Primary

Addresses

Primary practice location

2650 S Tamiami TRL
Sarasota, FL 34239-4531

Mailing address

2650 S Tamiami TRL
Sarasota, FL 34239-4531
Phone (941) 953-3111

Other identifiers 1

IdentifierTypeStateIssuer
078090100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1831412402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394531",
            "telephone_number": "941-953-3111",
            "fax_number": "941-366-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394531",
            "telephone_number": "941-953-3111",
            "fax_number": "941-366-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK E. SOTO, JR., O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SOTO JR.",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-953-3111",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-001562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078090100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.