Elisa Marie Puerto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5900 Issued in FL

Practice address

1452 Claret CT
Fort Myers, FL 33919-3458

Phone

(239) 634-0583

NPI assigned

Aug 7, 2021

Sex

Female

Sole proprietor

No

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

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.

• Cape Coral Eye Center, P.a.

  • Optometrist
  • Cape Coral, FL
  • NPI 1427067438
  Medicare reassignment NPD
• Suncoast Eyecare Centers PLLC

  • Optometrist
  • Brandon, FL
  • NPI 1235778978
  Medicare reassignment NPD
• Cape Coral Eye Center, P.a.

  • Ophthalmologic Surgery Clinic/Center
  • Cape Coral, FL
  • NPI 1376553925
  NPD

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1710651245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 CLARET CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 CLARET CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193458",
            "telephone_number": "239-634-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTO",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lee Puccio, MHC
• Alexandra Marie Puchan, PA-C
• Basudev Pudasaini, MD
• Brandon Puddefoot
• Trina Jane Puddefoot, DSC. PT
• Saskia D Pugh Zancos
• Zaimara Puig Fiallo, RBT
• Rachel De la Caridad Pulgaron Perdomo
• Pulmonary Disease Associates
• Pulmonary Studies Inc

• Optometrist in Fort Myers, FL
• Providers in 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 Aug 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.