Individual provider Active NPI

John L Meyers

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1053484634
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL3195 Issued in FL
Practice address
9409 US Highway 19
Suite #504
Port Richey, FL 34668-4625
Phone
(727) 845-5506
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL3195 FL Primary

Addresses

Primary practice location

9409 US Highway 19
Suite #504
Port Richey, FL 34668-4625

Mailing address

9409 US Highway 19
Suite #504
Port Richey, FL 34668-4625
Phone (727) 845-5506

Other identifiers 1

IdentifierTypeStateIssuer
620901700MedicaidFL

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
I20060106000125 FL Practitioner - Optometry 9739102609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John L. Meyers, OD PAGroup PAC ID 2668495532, 5 clinicians

Practice addresses (Care Compare)

9409 US Hwy 19
Suite 336
Port Richey, FL 34668-4632
Phone (727) 845-5506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL3195FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John L. Meyers, OD PA Optometrist CurrentSince Jul 28, 2003 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

23902 US Highway 19 N
Clearwater, FL 33765
Phone (727) 726-1300

9409 US Highway 19
Ste 336
Port Richey, FL 34668
Phone (727) 842-3733

9409 US Highway 19
Ste 504
Port Richey, FL 34668
Phone (727) 845-5506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1053484634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "SUITE #504",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684625",
            "telephone_number": "727-845-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "SUITE #504",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684625",
            "telephone_number": "727-845-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620901700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.