NPIMap

Organization Active NPI

Michael Fogt P a

  • Optometrist
  • Stuart, FL
National Provider Identifier
1841409505
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC980 Issued in FL
Legal business name
MICHAEL FOGT P A
Practice address
900 SE Ocean Blvd
Ste. 106a
Stuart, FL 34994-2471
Phone
(772) 287-2663
Fax
(772) 781-6797
NPI assigned
May 21, 2007
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Michael L Fogt, O DNPI 1730172073
Title
Optometrist Sole Proprietor
Phone
(772) 287-2663

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
Optometrist 152W00000X OPC980 FL Primary

Addresses

Primary practice location

900 SE Ocean Blvd
Ste. 106a
Stuart, FL 34994-2471

Mailing address

900 SE Ocean Blvd
Ste. 106a
Stuart, FL 34994-2471
Phone (772) 287-2663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1841409505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "STE. 106A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-287-2663",
            "fax_number": "772-781-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "STE. 106A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-287-2663",
            "fax_number": "772-781-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FOGT P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "FOGT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST SOLE PROPRIETOR",
        "authorized_official_telephone_number": "772-287-2663",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.