Individual provider Active NPI

Boyd Vaziri, M.D.

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1083685234
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2005-00860 Issued in NC
Practice address
9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone
(239) 418-0999
Fax
(239) 274-0773
NPI assigned
Jan 27, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2005-00860 NC Primary

Addresses

Primary practice location

9617 Gulf Research LN
Fort Myers, FL 33912-4555

Mailing address

9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0999

Other practice location 1

2500 Goodlette-Frank Rd N
Naples, FL 34103-4608
Phone (239) 430-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050729000311 NC Practitioner - Ophthalmology 5193753317 Reassigns benefits to 1 organization
I20210205001747 FL Practitioner - Ophthalmology 5193753317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan M Frantz, MD PAGroup PAC ID 9234039140, 25 clinicians

Practice addresses (Care Compare)

9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0262

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M Frantz, MD PA Ophthalmology CurrentSince Sep 11, 2023 Accepting new patients
Charlotte Ophthalmology Clinic P.a. Ophthalmology CurrentSince Oct 1, 2008 Accepting new patients
Jonathan M Frantz, MD PA Ophthalmology Past Accepting new patients
Charlotte Ophthalmology Clinic P.a. Ophthalmology PastSince Oct 1, 2008 Accepting new patients
Donald J Digby MD PA PastSince Sep 10, 2012 Accepting new patients
Donald J Digby MD PA Ophthalmology Past Accepting new patients

Locations

2301 Del Prado Blvd S
Ste 630
Cape Coral, FL 33990
Phone (239) 542-4123

12731 New Brittany Blvd
Fort Myers, FL 33907
Phone (941) 418-0999

2500 Goodlette-Frank Rd N
Naples, FL 34103
Phone (239) 430-3939

9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262

16610 Birkdale Commons Pkwy
Ste A
Huntersville, NC 28078
Phone (704) 895-8200

Interoperability endpoints

  • Direct secure messaging: boyd.vaziri.p1@direct.theeyeassociates.nextgenshare.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, 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1083685234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124555",
            "telephone_number": "239-418-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124555",
            "telephone_number": "239-418-0999",
            "fax_number": "239-274-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Goodlette-Frank Rd N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341034608",
            "country_code": "US",
            "telephone_number": "239-430-3939",
            "fax_number": "239-430-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "BOYD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2005-00860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.