Individual provider Active NPI

Maivys Longa, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1568080828
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6227 Issued in FL
Practice address
16964 Alico Mission Way Ste 204
Fort Myers, FL 33908-4845
Phone
(239) 416-9894
Fax
(239) 294-3531
NPI assigned
Jul 13, 2020
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6227 FL Primary
Optometrist 152W00000X 2190DT KY

Addresses

Primary practice location

16964 Alico Mission Way Ste 204
Fort Myers, FL 33908-4845

Mailing address

16964 Alico Mission Way Ste 204
Fort Myers, FL 33908-4845
Phone (239) 416-9894

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
I20230607003405 FL Practitioner - Optometry 0749604346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Vision Optometry LLCGroup PAC ID 2860815644, 3 clinicians
Michael J. Collins, Jr, MD, PAGroup PAC ID 1456320704, 10 clinicians

Practice addresses (Care Compare)

11841 Palm Beach Blvd
Unit 117
Fort Myers, FL 33905-5914
Phone (239) 500-2020

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

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2190DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Longa Family Eyecare PA Optometrist CurrentSince Sep 10, 2025 Accepting new patients
Optimal Vision Optometry LLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Michael J. Collins, Jr, MD, PA CurrentSince Mar 11, 2025 Accepting new patients
Eye Centers of Florida Optometrist Past Accepting new patients

Locations

11841 Palm Beach Blvd
Unit 117
Fort Myers, FL 33905
Phone (239) 500-2020

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

Interoperability endpoints

  • Direct secure messaging: maivys.longa.p1@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 4

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1568080828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16964 ALICO MISSION WAY STE 204",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084845",
            "telephone_number": "239-416-9894",
            "fax_number": "239-294-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16964 ALICO MISSION WAY STE 204",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084845",
            "telephone_number": "239-416-9894",
            "fax_number": "239-294-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGA",
        "first_name": "MAIVYS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6227",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2190DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.