Healthcare Provider Details

I. General information

NPI: 1508783622
Provider Name (Legal Business Name): CSABA R VIG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 COLLIER BLVD
NAPLES FL
34114-8125
US

IV. Provider business mailing address

8325 LUCELLO TER N
NAPLES FL
34114-8176
US

V. Phone/Fax

Practice location:
  • Phone: 239-417-2251
  • Fax:
Mailing address:
  • Phone: 239-776-1575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number8320
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: