Individual provider Active NPI

Nicole Elizabeth Alessi, O.D.

  • Optometrist
  • Port Charlotte, FL
National Provider Identifier
1255648747
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4561 Issued in FL
Practice address
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Phone
(941) 625-1325
Fax
(941) 625-0131
NPI assigned
Sep 7, 2010
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4561 FL Primary

Addresses

Primary practice location

21275 Olean Blvd
Port Charlotte, FL 33952-6704

Mailing address

21275 Olean Blvd
Port Charlotte, FL 33952-6704
Phone (941) 625-1325

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
I20101112000818 FL Practitioner - Optometry 4486849635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J. Collins, Jr, MD, PAGroup PAC ID 1456320704, 10 clinicians

Practice addresses (Care Compare)

6900 International Ctr Blvd
Fort Myers, FL 33912-7151
Phone (239) 936-4706

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4561FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Collins, Jr, MD, PA CurrentSince Mar 4, 2013 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

6900 International Center Blvd
Fort Myers, FL 33912
Phone (239) 593-7747

875 105th Ave N
Naples, FL 34108
Phone (239) 262-4798

3665 Tamiami Trl
Unit 101
Punta Gorda, FL 33950
Phone (239) 936-4706

Networks

  • Freedom Health HMO Network

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, 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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1255648747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "ALESSI",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.