Dr. Lee R. Light M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0020345 Issued in FL

Legal business name

DR. LEE R. LIGHT M.D.

Practice address

850 Central Ave Ste 301
Naples, FL 34102-6021

Phone

(239) 262-1833

Fax

(239) 262-3097

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lee Raymond Light, M.D.NPI 1285662395

Title

Physician

Phone

(239) 262-1833

Specialties & licenses 1

Addresses

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.

• Lee Raymond Light, M.D.

  • Specialist
  • Bonita Springs, FL
  • NPI 1285662395
  NPD Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932214848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CENTRAL AVE STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026021",
            "telephone_number": "239-262-1833",
            "fax_number": "239-262-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CENTRAL AVE STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026021",
            "telephone_number": "239-262-1833",
            "fax_number": "239-262-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEE R. LIGHT M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-262-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0020345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Naples, FL
• Providers in Naples, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.