Individual provider Active NPI

Nicole Marie Yontz, O.D.

  • Optometrist
  • Naples, FL
National Provider Identifier
1649442021
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5454 Issued in FL
Practice address
1201 Piper Blvd Ste 22
Naples, FL 34110-1385
Phone
(239) 734-3877
Fax
(239) 734-1879
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC5454 FL Primary

Addresses

Primary practice location

1201 Piper Blvd Ste 22
Naples, FL 34110-1385

Mailing address

9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0999

Other practice location 1

3515 Del Prado Blvd S
Cape Coral, FL 33904-7289
Phone (239) 542-4123

Other practice location 2

7075 Radio Rd
Naples, FL 34104-6706
Phone (239) 455-4500

Other practice location 3

109 Taylor St
Punta Gorda, FL 33950-3654
Phone (941) 505-2020

Other practice location 4

3020 Lee Blvd
Lehigh Acres, FL 33971-2438
Phone (239) 369-2010

Other identifiers 1

IdentifierTypeStateIssuer
OPC5454OtherFLMEDICAL 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
I20191028003172 FL Practitioner - Optometry 8527134196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2006
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M Frantz, MD PA Multi-Specialty CurrentSince Oct 15, 2019 Accepting new patients
Jonathan M Frantz, MD PA Multi-Specialty Past Accepting new patients
Jonathan M Frantz, MD PA Multi-Specialty PastSince Feb 18, 2024 Accepting new patients
Optic Gallery Arroyo LLC Optometrist PastSince Jul 31, 2024 Accepting new patients
Jonathan M Frantz, MD PA Multi-Specialty Past Accepting new patients
Nicole Yontz OD, PC Optometrist PastSince Mar 20, 2009 Accepting new patients

Locations

3515 Del Prado Blvd S
Ste 104
Cape Coral, FL 33904
Phone (239) 542-4123

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

2100 Tamiami Trl N
Naples, FL 34102
Phone (239) 430-3939

1201 Piper Blvd
Ste 22
Naples, FL 34110
Phone (239) 297-2883

109 Taylor St
Punta Gorda, FL 33950
Phone (941) 505-2020

9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262

Organizations & group practices 6

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1649442021",
    "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": "339124555",
            "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": "1201 PIPER BLVD STE 22",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-734-3877",
            "fax_number": "239-734-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339047289",
            "country_code": "US",
            "telephone_number": "239-542-4123",
            "fax_number": "239-542-7718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7075 Radio Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341046706",
            "country_code": "US",
            "telephone_number": "239-455-4500",
            "fax_number": "239-354-4425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503654",
            "country_code": "US",
            "telephone_number": "941-505-2020",
            "fax_number": "941-505-2024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339712438",
            "country_code": "US",
            "telephone_number": "239-369-2010",
            "fax_number": "239-369-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YONTZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OPC5454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.