Individual provider Active NPI

Nina Giselle Burt, OD

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1780754622
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3995 Issued in FL
Practice address
7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855
Phone
(239) 936-2020
Fax
(239) 936-2776
NPI assigned
Nov 8, 2006
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3995 FL Primary

Addresses

Primary practice location

7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855

Mailing address

7970 Summerlin Lakes Dr Ste 200
Fort Myers, FL 33907-1855
Phone (239) 936-2020

Other practice location 1

2776 Surfside Blvd
Ste 121
Cape Coral, FL 33991-3176
Phone (239) 936-2020

Other practice location 2

8100 Arbor Ct
Fort Myers, FL 33908-2865
Phone (239) 936-2020

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
I20090209000495 FL Practitioner - Optometry 0446315329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E Trevor Elmquist D O P aGroup PAC ID 4284731829, 3 clinicians

Practice addresses (Care Compare)

7970 Summerlin Lakes Dr
Suite 200
Fort Myers, FL 33907-1855
Phone (239) 936-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E Trevor Elmquist D O P a CurrentSince Jan 1, 2009 Accepting new patients

Locations

2336 Surfside Blvd
Ste 121
Cape Coral, FL 33991

7970 Summerlin Lakes Dr
Ste 200
Fort Myers, FL 33907
Phone (239) 936-2020

8100 Arbor Ct
Fort Myers, FL 33908
Phone (239) 454-2146

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1780754622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 SUMMERLIN LAKES DR STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071855",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2776 Surfside Blvd",
            "address_2": "Ste 121",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913176",
            "country_code": "US",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Arbor Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339082865",
            "country_code": "US",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "NINA",
        "middle_name": "GISELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.