Individual provider Active NPI

Jill Sagona

  • Optometrist
  • Naples, FL
National Provider Identifier
1023126091
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3905 Issued in FL
Practice address
2382 Immokalee Rd
Naples, FL 34110-1446
Phone
(239) 631-6451
Fax
(239) 631-6455
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3905 FL Primary

Addresses

Primary practice location

2382 Immokalee Rd
Naples, FL 34110-1446

Mailing address

2382 Immokalee Rd
Naples, FL 34110-1446
Phone (239) 631-6451

Other identifiers 1

IdentifierTypeStateIssuer
002590600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000826 FL Practitioner - Optometry 9830280213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellar Vision LLCGroup PAC ID 4284010075, 2 clinicians

Practice addresses (Care Compare)

2382 Immokalee Rd
Naples, FL 34110-1446
Phone (239) 631-6451

42041 Cypress Pkwy
Unit 3
Punta Gorda, FL 33982-5140
Phone (239) 731-0060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3905FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Vision LLC Optometrist CurrentSince Jun 14, 2022 Accepting new patients
Eye Care of South West Florida LLC Optometrist CurrentSince May 10, 2014 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist PastSince Mar 1, 2015 Accepting new patients
Jimmy Nguyen OD PA Optometrist Past Accepting new patients

Locations

2382 Immokalee Rd
Naples, FL 34110
Phone (239) 631-6451

42041 Cypress Pkwy
Unit 3
Punta Gorda, FL 33982
Phone (239) 731-0060

Interoperability endpoints

  • Direct secure messaging: jill.sagona@uprisedirect.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1023126091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101446",
            "telephone_number": "239-631-6451",
            "fax_number": "239-631-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101446",
            "telephone_number": "239-631-6451",
            "fax_number": "239-631-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGONA",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002590600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.