Provider Demographics
NPI:1710012406
Name:CAPE CORAL EYE CENTER, P.A.
Entity Type:Organization
Organization Name:CAPE CORAL EYE CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMITRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:239-542-2020
Mailing Address - Street 1:PO BOX 101427
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33910-1427
Mailing Address - Country:US
Mailing Address - Phone:239-540-8718
Mailing Address - Fax:239-945-0847
Practice Address - Street 1:331 CAPE CORAL PKWY W
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-5977
Practice Address - Country:US
Practice Address - Phone:239-542-2020
Practice Address - Fax:239-945-7628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3653152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620797900Medicaid
FL20001ZMedicare UPIN
FLU93075Medicare UPIN