Individual provider Active NPI

Paul A Kuck, MD

  • Ophthalmology Physician
  • Marco Island, FL
National Provider Identifier
1801892062
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
153549 Issued in FL
Practice address
914 Park Ave Ste a
Marco Island, FL 34145-2750
Phone
(239) 394-3068
Fax
(239) 394-1078
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 153549 FL Primary

Addresses

Primary practice location

914 Park Ave Ste a
Marco Island, FL 34145-2750

Mailing address

1780 Barbados Ave
Marco Island, FL 34145-3864
Phone (608) 386-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040326000109 WI Practitioner - Ophthalmology 4183516008 Reassigns benefits to 2 organizations
I20211130002781 FL Practitioner - Ophthalmology 4183516008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians
Michael G. Madison OD PAGroup PAC ID 9335393727, 2 clinicians

Practice addresses (Care Compare)

914 Park Ave
Suite a
Marco Island, FL 34145-2750
Phone (239) 542-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153549FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G. Madison OD PA CurrentSince Nov 22, 2023 Accepting new patients
Collier Hma Physician Management LLC Ophthalmology CurrentSince Oct 27, 2021 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Feb 1, 2026 Accepting new patients
Cape Coral Eye Center, P.a. Ophthalmology CurrentSince Feb 1, 2026 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 1, 2013 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 29, 1995 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 1, 2013 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Oct 27, 2021 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 29, 1995 Accepting new patients

Locations

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

914 Park Ave
Ste A
Marco Island, FL 34145
Phone (239) 394-3068

8340 Collier Blvd
Naples, FL 34114
Phone (239) 348-4400

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

Interoperability endpoints

  • Direct secure messaging: pkuck8482@direct.emplifyhealth.org

Organizations & group practices 11

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1801892062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BARBADOS AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453864",
            "telephone_number": "608-386-0048",
            "fax_number": "239-394-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PARK AVE STE A",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452750",
            "telephone_number": "239-394-3068",
            "fax_number": "239-394-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCK",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "153549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

Verify at the official NPI Registry.