CAPE CORAL EYE CENTER P.A. NPI 1376553925

NPI Information

NPI: 1376553925
Provider Name: CAPE CORAL EYE CENTER, P.A.

Doing Business As: EYE SURGERY & LASER CENTER, P.A.

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
4120 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904
Phone: (239) 542-2020
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CAPE CORAL EYE CENTER, P.A. is an ophthalmologic surgery clinic center in Cape Coral, FL. CAPE CORAL EYE CENTER, P.A. NPI is 1376553925. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Surgery & Laser Center, P.a..

The provider's business location address is:

4120 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904-165
Phone: (239) 542-2020
Fax: (239) 541-1492

The provider's authorized official is Farrell C Tyson .
The authorized official title is Owner and has the following contact phone number (239) 542-2020.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 6/6/2012.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	808	FLORIDA	Yes

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
1	N221470	OTHER	FLORIDA	STAYWELL MEDICAID
2	61Z	OTHER	FLORIDA	BC/BS
3	490001086	OTHER	FLORIDA	RR MEDICARE
4	2242484	OTHER	FLORIDA	AETNA HMO
5	079051600	MEDICAID	FLORIDA
6	F1071	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE

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

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