Individual provider Active NPI

Maxwell Anderson Burch, MD

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1174919583
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
145151 Issued in FL
Practice address
9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone
(239) 418-0999
Fax
(239) 274-0773
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 145151 FL Primary

Addresses

Primary practice location

9617 Gulf Research LN
Fort Myers, FL 33912-4555

Mailing address

9617 Gulf Research LN
Fort Myers, FL 33912-4560
Phone (239) 418-0999

Other practice location 1

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

Other practice location 2

2301 Del Prado Blvd S Ste 630
Cape Coral, FL 33990-6623
Phone (239) 418-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20190618000294 MA Practitioner - Ophthalmology 0446558639 Reassigns benefits to 1 organization
I20200717001860 FL Practitioner - Ophthalmology 0446558639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2015
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)

12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone (239) 418-0999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145151FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Surgery Center, LLC CurrentSince Apr 28, 2021 Accepting new patients
Jonathan M Frantz, MD PA Single Specialty CurrentSince Jun 12, 2020 Accepting new patients
Pratt Ophthalmology Associates Inc Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Pratt Ophthalmology Associates, Inc Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Naples Suncoast Surgery Center, LLC CurrentSince Apr 28, 2021 Accepting new patients
Jonathan M Frantz, MD PA Ophthalmology Past Accepting new patients
Jonathan M Frantz, MD PA Ophthalmology Past Accepting new patients
Jonathan M Frantz, MD PA Ophthalmology PastSince Feb 18, 2024 Accepting new patients

Locations

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

3515 Del Prado Blvd S
Ste 104
Cape Coral, FL 33904
Phone (239) 542-4123

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

3020 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 369-2010

1201 Piper Blvd
Ste 22
Naples, FL 34110
Phone (239) 297-2883

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

7075 Radio Rd
Naples, FL 34104
Phone (239) 455-4500

109 Taylor St
Punta Gorda, FL 33950
Phone (941) 505-2020

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

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

Organizations & group practices 8

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1174919583",
    "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": "339124560",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        },
        {
            "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"
        },
        {
            "address_1": "2301 Del Prado Blvd S Ste 630",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339906623",
            "country_code": "US",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "MAXWELL",
        "middle_name": "ANDERSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "145151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.