Individual provider Active NPI

Monica Tarnawski Iriza, OD

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1205570447
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6095 Issued in FL
Practice address
11571 Verandah Blvd
Fort Myers, FL 33905-6241
Phone
(239) 542-2020
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6095 FL Primary

Addresses

Primary practice location

11571 Verandah Blvd
Fort Myers, FL 33905-6241

Mailing address

11571 Verandah Blvd
Fort Myers, FL 33905-6241
Phone (239) 542-2020

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
I20230803000787 FL Practitioner - Optometry 5597126813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OPC6095FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Jul 1, 2023 Accepting new patients

Locations

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

11571 Verandah Blvd
Fort Myers, FL 33905
Phone (239) 415-7576

Interoperability endpoints

  • Direct secure messaging: mtarnawski@tysoneye.imwdirect.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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1205570447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11571 VERANDAH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339056241",
            "telephone_number": "239-542-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11571 VERANDAH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339056241",
            "telephone_number": "239-542-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNAWSKI IRIZA",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.