Individual provider Active NPI

Eric J Donaghy, O.D.

  • Optometrist
  • Naples, FL
National Provider Identifier
1043249543
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2618 Issued in FL
Practice address
1435 Immokalee Rd
Naples, FL 34110-1401
Phone
(239) 592-5511
Fax
(239) 592-9259
NPI assigned
Jun 30, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2618 FL Primary

Addresses

Primary practice location

1435 Immokalee Rd
Naples, FL 34110-1401

Mailing address

1435 Immokalee Rd
Naples, FL 34110-1401
Phone (239) 592-5511

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
I20050519000565 FL Practitioner - Optometry 7618918665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Zimm MD PAGroup PAC ID 7719925858, 5 clinicians

Practice addresses (Care Compare)

1435 Immokalee Rd
Naples, FL 34110-1401
Phone (239) 592-5511

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2618FLMDOptometrist
2618FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L Zimm MD PA Optometrist CurrentSince Jun 16, 2010 Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC PastSince Jun 16, 2010 Accepting new patients

Locations

6150 Diamond Centre Ct
Ste 900
Fort Myers, FL 33912
Phone (239) 768-7022

1435 Immokalee Rd
Naples, FL 34110
Phone (239) 592-5511

1735 Heritage Trl
Naples, FL 34112
Phone (239) 775-7711

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1043249543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101401",
            "telephone_number": "239-592-5511",
            "fax_number": "239-592-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101401",
            "telephone_number": "239-592-5511",
            "fax_number": "239-592-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGHY",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.