RICHARD M DAVIS MD PA NPI 1235120619

NPI Information

  • NPI: 1235120619
  • Provider Name: RICHARD M DAVIS MD PA
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: CYPRESS LAKE EYEWEAR
  • Address: 9201 CYPRESS LAKE DR
    FORT MYERS, FL
    ZIP 33919
  • Phone: (239) 481-8171

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NPI Details

RICHARD M DAVIS MD PA is an optician technician technologist in Fort Myers, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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