Individual provider Active NPI

Tammy Johnson, O.D.

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1407973175
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5464 Issued in FL
Practice address
2301 Del Prado Blvd S Ste 630
Cape Coral, FL 33990-6623
Phone
(239) 542-4123
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

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
Optometrist 152W00000X OPC5464 FL Primary

Addresses

Primary practice location

2301 Del Prado Blvd S Ste 630
Cape Coral, FL 33990-6623

Mailing address

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

Other practice location 1

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

Other identifiers 2

IdentifierTypeStateIssuer
024626000MedicaidFL
OPC5464OtherFLSTATE LICENSE

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
I20180625002903 FL Practitioner - Optometry 0648396069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5464FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M Frantz, MD PA CurrentSince Jun 1, 2018 Accepting new patients
Indiana Community Eyecare Optometrist CurrentSince Jul 28, 2016 Accepting new patients
Jonathan M Frantz, MD PA PastSince Feb 18, 2024 Accepting new patients
Jonathan M Frantz, MD PA Past Accepting new patients
Jonathan M Frantz, MD PA PastSince Jun 1, 2018 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

3515 Del Prado Blvd S
Unit 4
Cape Coral, FL 33904

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

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

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

2792 E 146th St
Carmel, IN 46033
Phone (317) 843-2020

Organizations & group practices 5

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1407973175",
    "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": "2301 DEL PRADO BLVD S STE 630",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906623",
            "telephone_number": "239-542-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9617 Gulf Research Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124560",
            "country_code": "US",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024626000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC5464",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.