Individual provider Active NPI

Stuart I Kaplan, OD

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1790776219
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3653 Issued in FL
Practice address
4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone
(239) 542-2020
Fax
(239) 541-1492
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3653 FL Primary

Addresses

Primary practice location

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165

Mailing address

PO Box 101468
Cape Coral, FL 33910-1468
Phone (239) 542-2020

Other identifiers 1

IdentifierTypeStateIssuer
620797900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drkaplan@tysoneye.imwdirect.com Health Information Exchange (HIE)

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
I20111110000129 FL Practitioner - Optometry 3476726365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3653FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. CurrentSince Oct 14, 2002 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Oct 14, 2002 Accepting new patients
Cape Coral Eye Center Optometrist Past Accepting new patients
Cape Coral Eye Center, PA Optometrist Past Accepting new patients

Locations

3925 Bonita Beach Rd
Bonita Springs, FL 34134
Phone (239) 947-2226

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

8004 Vintage Pkwy
Estero, FL 33967

18770 N Tamiami Trl
North Fort Myers, FL 33903
Phone (833) 733-3754

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1790776219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101468",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339101468",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047165",
            "telephone_number": "239-542-2020",
            "fax_number": "239-541-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "STUART",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620797900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkaplan@tysoneye.imwdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "4120 Del Prado Blvd S",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339047165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.