Eyecare and Surgery Center of Southwest Florida, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

ME0069687 Issued in FL

Legal business name

EYECARE AND SURGERY CENTER OF SOUTHWEST FLORIDA, LLC

Practice address

3665 Tamiami TRL
#101
Punta Gorda, FL 33950-7200

Phone

(941) 575-9300

Fax

(941) 575-9394

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Todd Stelly, MD

Title

Owner

Phone

(941) 575-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1881942175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 TAMIAMI TRL",
            "address_2": "#101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507200",
            "telephone_number": "941-575-9300",
            "fax_number": "941-575-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 TAMIAMI TRL",
            "address_2": "#101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507200",
            "telephone_number": "941-575-9300",
            "fax_number": "941-575-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE AND SURGERY CENTER OF SOUTHWEST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-575-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "ME0069687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Viloria Estepa, M.D.
• Cristy Clark Estes, LMHC
• Shannyn O'Keefe Estevez, APRN
• Christina Eubanks, HAS
• Eyecare and Surgery Center of
• Fabiola Anglade-Pascal, PLLC
• Mitchell Scott Fadley, DO
• Pamela Kay Fadness, M.D.
• Abigail Hobbs Faerber, D.O.
• Leanne Fahey, LMFT

• Optician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.