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RICHARD M DAVIS MD PA NPI 1235120619


NPI Information

NPI: 1235120619
Provider Name: RICHARD M DAVIS MD PA

Doing Business As: CYPRESS LAKE EYEWEAR

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
9201 CYPRESS LAKE DR
FORT MYERS, FL
ZIP 33919
Phone: (239) 481-8171
Get Directions

RICHARD M DAVIS MD PA is an optician technician technologist in Fort Myers, FL. RICHARD M DAVIS MD PA NPI is 1235120619. The provider is registered as an organization entity type.
The provider Is Doing Business As Cypress Lake Eyewear.

The provider's business location address is:

9201 CYPRESS LAKE DR
FORT MYERS, FL
ZIP 33919-941
Phone: (239) 481-8171
Fax: (239) 482-5227

The provider's authorized official is Richard M Davis .
The authorized official title is President and has the following contact phone number (239) 481-3343.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier000176FLORIDANo
2156FX1800XTechnician/TechnologistOptician0000176FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
118778423210OTHERUNITED HEALTHCARE
20499890001MEDICARE ID-TYPE UNSPECIFIED
30499890001OTHERD MERC
46924OTHERAVESIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.