Organization Active NPI

Harborside Eye Specialists, P.a.

Doing business as Harborside Eye Specialists

  • Ophthalmology Physician
  • Port Charlotte, FL
National Provider Identifier
1962699538
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HARBORSIDE EYE SPECIALISTS, P.A.
Doing business as
Harborside Eye Specialists
Practice address
3430 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8127
Phone
(941) 624-4500
Fax
(941) 624-6066
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Daniel Solano, DONPI 1912367541
Title
President
Phone
(941) 624-4500

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3430 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8127

Mailing address

PO Box 495658
Port Charlotte, FL 33949-5658
Phone (941) 624-4500

Other identifiers 1

IdentifierTypeStateIssuer
CK4298OtherRR MEDICARE

Other names 1

  • Harborside Eye Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726001069 FL Part B Supplier - Clinic/Group Practice 8022088319 Receives reassigned benefits from 2 practitioners
Practice locations: PT Charlotte, FL

National Provider Directory

National Provider Directory

Locations

3161 Harbor Blvd
Ste D
Pt Charlotte, FL 33952
Phone (941) 624-4500

3430 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 624-4500

Interoperability endpoints

  • Direct secure messaging: dsolano@hes.intellechartdirect.net
  • Direct secure messaging: nzusman@hes.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1962699538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495658",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495658",
            "telephone_number": "941-624-4500",
            "fax_number": "941-624-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-624-4500",
            "fax_number": "941-624-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE EYE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-624-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK4298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborside Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.