Individual provider Active NPI

Jon K Batzer, OD

  • Optometrist
  • Port Charlotte, FL
National Provider Identifier
1104824473
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2162 Issued in FL
Practice address
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Phone
(941) 625-1325
Fax
(941) 625-0131
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2162 FL Primary

Addresses

Primary practice location

21275 Olean Blvd
Port Charlotte, FL 33952-6704

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (941) 625-1325

Other practice location 1

1331 S Sumter Blvd
North Port, FL 34287-2339
Phone (239) 466-2020

Other practice location 2

6091 S Pointe Blvd
Fort Myers, FL 33919-4899
Phone (239) 466-2020

Other identifiers 2

IdentifierTypeStateIssuer
620113000MedicaidFL
20271ZOtherFLMEDICARE PTAN

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
I20100819000312 FL Practitioner - Optometry 7719011287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
86.71
Improvement activities
20
Cost
76.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2162FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee LLP CurrentSince Apr 1, 2025 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Apr 1, 2025 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

6091 S Pointe Blvd
Fort Myers, FL 33919
Phone (941) 466-2020

1331 S Sumter Blvd
North Port, FL 34287
Phone (941) 423-2677

21275 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-5559

2529 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 639-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jon.batzer.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: drbatzer@cec.direct.eyemdemr.com

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1104824473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "941-625-1325",
            "fax_number": "941-625-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21275 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "941-625-1325",
            "fax_number": "941-625-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S Sumter Blvd",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872339",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6091 S Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339194899",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATZER",
        "first_name": "JON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620113000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20271Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.