Organization Active NPI

Neuro-Ophthalmology and Strabismus Consultants of Southwest Florida P

  • Neuro-ophthalmology Physician
  • Bonita Springs, FL
National Provider Identifier
1568136349
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
Legal business name
NEURO-OPHTHALMOLOGY AND STRABISMUS CONSULTANTS OF SOUTHWEST FLORIDA P
Practice address
9776 Bonita Beach Rd SE Ste 202B
Bonita Springs, FL 34135-4775
Phone
(239) 308-0063
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Shauna E BerryNPI 1548605967
Title
Owner/Physician
Phone
(239) 308-0063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Neuro-ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0109X Primary
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0110X

Addresses

Primary practice location

9776 Bonita Beach Rd SE Ste 202B
Bonita Springs, FL 34135-4775

Mailing address

9776 Bonita Beach Rd SE Ste 202B
Bonita Springs, FL 34135-4775
Phone (239) 308-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107000646 FL Part B Supplier - Clinic/Group Practice 7618375510 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: sberry@shaunaberry.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1568136349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 202B",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "239-308-0063",
            "fax_number": "239-308-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 202B",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "239-308-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-OPHTHALMOLOGY AND STRABISMUS CONSULTANTS OF SOUTHWEST FLORIDA P",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-308-0063"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.