Individual provider Active NPI

Brenda Catineau Hart, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1003918442
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2601 Issued in FL
Practice address
14290 Metropolis Ave Ste 2
Fort Myers, FL 33912
Phone
(239) 561-0679
Fax
(888) 972-4036
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2601 FL Primary

Addresses

Primary practice location

14290 Metropolis Ave Ste 2
Fort Myers, FL 33912

Mailing address

12631 Strathmore Loop
Fort Myers, FL 33912-4693
Phone (239) 561-0679

Other identifiers 1

IdentifierTypeStateIssuer
086874400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100911000094 FL Practitioner - Optometry 5193840312
I20241111000809 MI Practitioner - Optometry 5193840312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J. Siesel, O.D.P.C. Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Lily Group Optometrist CurrentSince Dec 7, 2025 Accepting new patients
Hart Hart & Associates OD PA Optometrist Past Accepting new patients

Locations

3265 S M 129
Sault South Marie, MI 49783
Phone (906) 635-9347

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1003918442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 STRATHMORE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124693",
            "telephone_number": "239-561-0679",
            "fax_number": "239-936-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 METROPOLIS AVE STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-561-0679",
            "fax_number": "888-972-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "BRENDA",
        "middle_name": "CATINEAU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086874400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.