Joseph Frank Convertino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3882 Issued in FL

Practice address

545 Pine Island Rd
N Fort Myers, FL 33903-3764

Phone

(954) 895-5904

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons of Florida PAGroup PAC ID 7113056292, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Physicians and Surgeons of Florida PA

  • Optometrist
  • Fort Myers, FL
  • NPI 1275648495
  Medicare reassignment Care Compare group NPD
• Joseph Convertino, OD, PA

  • Optometrist
  • N Fort Myers, FL
  • NPI 1467638841
  Medicare reassignment NPD Authorized official
• Eye Physicians and Surgeons of Florida PA

  • Optometrist
  • Fort Myers, FL
  • NPI 1982861175
  NPD
• Marc S.Flesher O.D. P.a.

  • Eyewear Supplier
  • Boynton Beach, FL
  • NPI 1417180282
  NPD (past)
• Rebecca C Hill OD PA

  • Optometrist
  • Boynton Beach, FL
  • NPI 1679812853
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1659479004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PINE ISLAND RD",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339033764",
            "telephone_number": "954-895-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PINE ISLAND RD",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339033764",
            "telephone_number": "954-895-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERTINO",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cape Coral Eye Center, P.a.
• Cape Coral Eye Center, P.a.
• Cape Coral Eye Center, PA
• Diane L Colburn
• Convenient Medical Equipment Inc
• Meredith Roxanne Crisp, MS, OTR/L
• Ronald Gerald Dalrymple, P.H.D
• Taylor David
• Florida Personal Management LLC
• Karmen Gharghory

• Optometrist in N Fort Myers, FL
• Providers in N Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.