Active NPI
Roger Paez, O.D.
- Optometrist
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5150
- Practice address
- 2500 Goodlette-Frank Rd N Unit 200
Naples, FL 34103-4607 - Phone
- (239) 418-0999
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5150 | FL | Primary |
| Optometrist | 152W00000X | 507 | NV |
Addresses
Primary practice location
2500 Goodlette-Frank Rd N Unit 200
Naples, FL 34103-4607
Mailing address
12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone (239) 418-0999
Other practice location 1
9617 Gulf Research Ln
Fort Myers, FL 33912-4560
Phone (239) 418-0999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015917600 | Medicaid | FL | |
| OPC5150 | Other | FL | FLORIDA 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone (239) 418-0999
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 507 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonchon Lin, M.D., PLLC | Current | Accepting new patients | |
| Jonathan M Frantz, MD PA | Current | Accepting new patients | |
| Paez & Yontz OD PA | Optometrist | Current | Accepting new patients |
| Jonathan M Frantz, MD PA | Past | Accepting new patients | |
| Jonathan M Frantz, MD PA | Past | Accepting new patients | |
| Jonathan M Frantz, MD PA | Past | 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
7075 Radio Rd
Naples, FL 34104
Phone (239) 455-4500
2500 Goodlette-Frank Rd N
Naples, FL 34103
Phone (239) 430-3939
109 Taylor St
Punta Gorda, FL 33950
Phone (941) 505-2020
9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262
2580 S Decatur Blvd
Ste 6
Las Vegas, NV 89102
Phone (702) 570-2820
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Fort Myers, FL
- NPI 1033199609
-
- Optometrist
- Naples, FL
- NPI 1447774955
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1902443542
-
- Ophthalmology Physician
- Punta Gorda, FL
- NPI 1316096506
-
- Ophthalmology Physician
- Cape Coral, FL
- NPI 1457400640
-
- Ophthalmology Physician
- Lehigh Acres, FL
- NPI 1720284730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1750428561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12731 NEW BRITTANY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073632",
"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": "2500 GOODLETTE-FRANK RD N UNIT 200",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034607",
"telephone_number": "239-418-0999"
}
],
"practiceLocations": [
{
"address_1": "9617 Gulf Research Ln",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124560",
"country_code": "US",
"telephone_number": "239-418-0999",
"fax_number": "239-418-0091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAEZ",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5150",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "507",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015917600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "OPC5150",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.