Individual provider Active NPI

Karen M Memoli, OD

  • Optometrist
  • North Port, FL
National Provider Identifier
1508965104
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3367 Issued in FL
Practice address
1331 S Sumter Blvd
North Port, FL 34287-2339
Phone
(239) 466-2020
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 OPC 3367 FL Primary

Addresses

Primary practice location

1331 S Sumter Blvd
North Port, FL 34287-2339

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

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

Other practice location 2

20600 Veterans Blvd
Port Charlotte, FL 33954-2209
Phone (239) 466-2020

Other practice location 3

21275 Olean Blvd
Port Charlotte, FL 33952-6703
Phone (941) 625-1325

Other identifiers 1

IdentifierTypeStateIssuer
620459700MedicaidFL

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
I20051114000164 FL Practitioner - Optometry 4082633680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

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

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
OPC 3367FLMDOptometrist

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
Karen Memoli OD PA Optometrist Past Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
World Vision Center I Optometrist Past Accepting new patients
Lens Spot Inc II Past Accepting new patients
World Vision Centers II Inc Optometrist Past Accepting new patients

Locations

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

820 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 983-9105

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

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

2500 Tamiami Trl N
Ste 109
Naples, FL 34103
Phone (239) 263-2700

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

20600 Veterans Blvd
Port Charlotte, FL 33954
Phone (941) 766-7474

1940 Tamiami Trl
Ste 103
Port Charlotte, FL 33948
Phone (941) 440-1095

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: karen.memoli.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: kmemoliod@cec.direct.eyemdemr.com

Organizations & group practices 7

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1508965104",
    "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": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872339",
            "telephone_number": "239-466-2020"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "address_1": "20600 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339542209",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21275 Olean Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526703",
            "country_code": "US",
            "telephone_number": "941-625-1325",
            "fax_number": "941-423-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMOLI",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620459700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.