Active NPI
John E Witkowski, O.D.
- Optometrist
- Naples, FL
National Provider Identifier
1821037409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC002142
- Practice address
- 5959 Pine Ridge Rd
Naples, FL 34119-3955 - Phone
- (239) 262-4662
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC002142 | FL | Primary |
Addresses
Primary practice location
5959 Pine Ridge Rd
Naples, FL 34119-3955
Mailing address
33 Shores Ave
Naples, FL 34110-1607
Phone (239) 591-3283
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060919000465 | FL | Practitioner - Optometry | 4789689050 | Practice locations: Naples, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5959 Pine Ridge Rd
Naples, FL 34119-3955
Phone (239) 262-4662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC002142 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1821037409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 SHORES AVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101607",
"telephone_number": "239-591-3283",
"fax_number": "239-353-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 PINE RIDGE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193955",
"telephone_number": "239-262-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKOWSKI",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC002142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.