Amy L. Mott OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2547 Issued in FL

Legal business name

AMY L. MOTT OD PA

Practice address

13300 S Cleveland Ave Ste 45
Fort Myers, FL 33907-3883

Phone

(239) 433-1121

NPI assigned

Apr 19, 2008

Last updated

Apr 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Lynn Mott, ODNPI 1568587137

Title

President

Phone

(239) 433-1121

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Amy Lynn Mott, O.D.

  • Optometrist
  • Fort Myers, FL
  • NPI 1568587137
  Authorized official Same address or phone

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208563200000",
    "number": "1902070055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 45",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-433-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 45",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-433-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L. MOTT OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2008-04-19",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-433-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#",
            "identifier": "K8665",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.