Organization Active NPI

West Florida Eye Inc

  • Health Service Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1881883676
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OPC 3682 Issued in FL
Legal business name
WEST FLORIDA EYE INC
Practice address
2814 Lee Blvd
Ste 3
Lehigh Acres, FL 33971-1542
Phone
(239) 303-2687
Fax
(239) 303-2688
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Habib Azizi, O.D.NPI 1134181159
Title
President
Phone
(239) 303-2687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OPC 3682 FL Primary

Addresses

Primary practice location

2814 Lee Blvd
Ste 3
Lehigh Acres, FL 33971-1542

Mailing address

2814 Lee Blvd
Ste 3
Lehigh Acres, FL 33971-1542
Phone (239) 303-2687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000221 FL Part B Supplier - Clinic/Group Practice 3173611035 Receives reassigned benefits from 1 practitioner
Practice locations: Lehigh Acres, FL

National Provider Directory

National Provider Directory

Locations

18070 S Tamiami Trl
Ste 16
Fort Myers, FL 33908
Phone (239) 985-2287

2814 Lee Blvd
Ste 3
Lehigh Acres, FL 33971
Phone (239) 303-2687

Practitioners & affiliated clinicians

Practitioners 1

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1881883676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LEE BLVD",
            "address_2": "STE 3",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711542",
            "telephone_number": "239-303-2687",
            "fax_number": "239-303-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LEE BLVD",
            "address_2": "STE 3",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711542",
            "telephone_number": "239-303-2687",
            "fax_number": "239-303-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA EYE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "HABIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-303-2687",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "OPC 3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.