Individual provider Active NPI

Maria Magdalena Wadowska, O.D.

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1871229864
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OM00182000 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115000522 FL Practitioner - Optometry 6305293291 Reassigns benefits to 2 organizations

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
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

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

LicenseStateTypeSpecialty
27OM00182000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Eye Vision LLC Optometrist CurrentSince Sep 29, 2023 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Mar 23, 2026 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Mar 23, 2026 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.

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

Verify at the official NPI Registry.