Individual provider Active NPI

Bethany J Nelson, OD

  • Optometrist
  • Naples, FL
National Provider Identifier
1770069528
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5569 Issued in FL
Practice address
675 Piper Blvd Unit 1
Naples, FL 34110-5703
Phone
(941) 792-2020
NPI assigned
Jul 16, 2018
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5569 FL Primary

Addresses

Primary practice location

675 Piper Blvd Unit 1
Naples, FL 34110-5703

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

3940 Via Del Rey
Bonita Springs, FL 34134-7592
Phone (239) 466-2020

Other practice location 2

4101 Evans Ave
Fort Myers, FL 33901-9310
Phone (239) 939-3456

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
I20180831001809 FL Practitioner - Optometry 8224388848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

2111 Bee Ridge Rd
Sarasota, FL 34239-6104
Phone (941) 925-8888

2203 61St St W
Bradenton, FL 34209-5531
Phone (941) 792-2020

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

675 Piper Blvd
Unit 1
Naples, FL 34110-5703
Phone (239) 466-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5569FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee, LLP CurrentSince Aug 15, 2022 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Aug 15, 2022 Accepting new patients

Locations

26831 S Tamiami Trl
Unit 47
Bonita Springs, FL 34134
Phone (239) 992-1422

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

2301 Del Prado Blvd S
Ste 820
Cape Coral, FL 33990
Phone (239) 574-4443

820 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 983-9105

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

1320 N 15th St
Immokalee, FL 34142
Phone (239) 657-4486

3507 Lee Blvd
Ste 104
Lehigh Acres, FL 33971
Phone (239) 369-5884

2500 Tamiami Trl N
Ste 109
Naples, FL 34103
Phone (239) 263-2700

675 Piper Blvd
Unit 1
Naples, FL 34110

877 111th Ave N
Ste 2
Naples, FL 34108
Phone (239) 591-2949

1940 Tamiami Trl
Ste 103
Port Charlotte, FL 33948
Phone (941) 440-1095

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bethany.nelsonod.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: bethany.neslonod.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: bethanynelson@ecof.emadirect.md

Organizations & group practices 2

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1770069528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PIPER BLVD UNIT 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105703",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Via Del Rey",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341347592",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Evans Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019310",
            "country_code": "US",
            "telephone_number": "239-939-3456",
            "fax_number": "239-936-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BETHANY",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.