Organization Active NPI

Cape Coral Eye Center, PA

  • Optometrist
  • N Fort Myers, FL
National Provider Identifier
1881729648
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3598 Issued in FL
Legal business name
CAPE CORAL EYE CENTER, PA
Practice address
18770 N Tamiami TRL
N Fort Myers, FL 33903-1362
Phone
(239) 542-2020
Fax
(239) 731-9393
NPI assigned
Feb 22, 2007
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Garrick Layman, O.D.
Title
Optometrist
Phone
(239) 542-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3598 FL Primary

Addresses

Primary practice location

18770 N Tamiami TRL
N Fort Myers, FL 33903-1362

Mailing address

PO Box 101427
Cape Coral, FL 33910-1427
Phone (239) 540-8718

Other identifiers 1

IdentifierTypeStateIssuer
620732400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Gmartin MD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1881729648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101427",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339101427",
            "telephone_number": "239-540-8718",
            "fax_number": "239-945-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18770 N TAMIAMI TRL",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339031362",
            "telephone_number": "239-542-2020",
            "fax_number": "239-731-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "GARRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "239-542-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620732400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.