Individual provider Active NPI

Bonny L. Eads, O.D.

  • Optometrist
  • Naples, FL
National Provider Identifier
1750358404
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
918 Issued in FL
Practice address
60 10TH St N
Naples, FL 34102-6217
Phone
(239) 261-7071
Fax
(239) 263-0807
NPI assigned
Mar 1, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 918 FL Primary

Addresses

Primary practice location

60 10TH St N
Naples, FL 34102-6217

Mailing address

60 10TH St N
Naples, FL 34102-6217
Phone (239) 261-7071

Other identifiers 1

IdentifierTypeStateIssuer
084151000MedicaidFL

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
I20100317000776 FL Practitioner - Optometry 5496834269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dery and Eads, P.a.Group PAC ID 3173612892, 2 clinicians

Practice addresses (Care Compare)

60 10TH St N
Naples, FL 34102-6217
Phone (239) 261-7071

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as individual
Quality
75.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
918FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dery & Eads, P.a. Optometrist CurrentSince Sep 21, 1993 Accepting new patients

Locations

60 10th St N
Naples, FL 34102
Phone (239) 261-7071

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1750358404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 10TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026217",
            "telephone_number": "239-261-7071",
            "fax_number": "239-263-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 10TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026217",
            "telephone_number": "239-261-7071",
            "fax_number": "239-263-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "BONNY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084151000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.