Active NPI
Maria Magdalena Wadowska, O.D.
- Optometrist
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OM00182000
- Practice address
- 706 SW Pine Island Rd Unit 102
Cape Coral, FL 33991-2053 - Phone
- (407) 774-1318
- NPI assigned
- Aug 1, 2022
- Last updated
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 27OM00182000 | NJ | Primary |
Addresses
Primary practice location
706 SW Pine Island Rd Unit 102
Cape Coral, FL 33991-2053
Mailing address
2601 Bellingham CT
Cape Coral, FL 33991-3059
Phone (908) 307-4887
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
706 SW Pine Island Rd
Unit 102
Cape Coral, FL 33991-2053
Phone (239) 451-5954
914 Park Ave
Suite a
Marco Island, FL 34145-2750
Phone (239) 542-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OM00182000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Eye Vision LLC | Optometrist | Current | Accepting new patients |
| Cape Coral Eye Center, P.a. | Current | Accepting new patients | |
| Cape Coral Eye Center, P.a. | Optometrist | Current | Accepting new patients |
Locations
4120 Del Prado Blvd S
Cape Coral, FL 33904
706 SW Pine Island Rd
Unit 102
Cape Coral, FL 33991
Phone (239) 387-5775
6891 Daniels Pkwy
Ste 140
Fort Myers, FL 33912
Phone (239) 243-8892
914 Park Ave
Ste A
Marco Island, FL 34145
Phone (239) 394-3068
1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Optometrist
- Cape Coral, FL
- NPI 1427067438
-
- Optometrist
- Cape Coral, FL
- NPI 1134909997
-
dba Eye Surgery & Laser Center, P.A.
- Ophthalmologic Surgery Clinic/Center
- Cape Coral, FL
- NPI 1376553925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1871229864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 BELLINGHAM CT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913059",
"telephone_number": "908-307-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 SW PINE ISLAND RD UNIT 102",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339912053",
"telephone_number": "407-774-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADOWSKA",
"first_name": "MARIA",
"middle_name": "MAGDALENA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00182000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.