Emilio Martinez-Lezama, OD
Individual provider Active NPI Optometrist · Naples, FL
NPI 1760464838 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1760464838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC4214 (FL)
- Practice address
- 2324 Pine Ridge Rd
Naples, FL 34109-2003 - Phone
- (239) 330-3473
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14700 Tamiami TRL N
Suite 8
Naples, FL 34110-6221
Phone (239) 330-3473
2324 Pine Ridge Rd
Naples, FL 34109-2003
Phone (901) 289-1877
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080701000448 | FL | Practitioner - Optometry | 8022038702 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1451 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J. Collins, Jr, MD, PA | Current |
Accepting new patients | |
| Lezama, P.a. | Optometrist | Current |
Accepting new patients |
| Gulf Coast Optometry, PA | Current |
Accepting new patients | |
| Optometrica O D P a | Optometrist | Current |
Accepting new patients |
| Jonathan M Frantz, MD PA | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Jonathan M Frantz, MD PA | Past |
Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Center for Sight, PL | Optometrist | Past |
Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
1918 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3882
22907 Lyden Dr
Estero, FL 33928
Phone (239) 908-5453
6900 International Center Blvd
Fort Myers, FL 33912
Phone (239) 593-7747
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
14700 Tamiami Trl N
Ste 8
Naples, FL 34110
Phone (239) 330-3473
2324 Pine Ridge Rd
Naples, FL 34109
Phone (239) 330-3473
6355 Naples Blvd
Naples, FL 34109
Phone (239) 216-4366
875 105th Ave N
Naples, FL 34108
Phone (239) 262-4798
2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309
3665 Tamiami Trl
Unit 101
Punta Gorda, FL 33950
Phone (239) 936-4706
1571 Periwinkle Way
Sanibel, FL 33957
Phone (239) 472-4204
77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4214 | FL | Yes |
Addresses
Primary practice location
2324 Pine Ridge Rd
Naples, FL 34109-2003
Mailing address
4652 Siesta Cir
Fort Myers, FL 33901-8830
Phone (901) 289-1877
Other practice location 1
2324 Pine Ridge Rd
Naples, FL 34109-2003
Phone (012) 891-8779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000996800 | Medicaid | FL |
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.