Individual provider Active NPI

David Paul Mertzlufft, OD

  • Optometrist
  • Venice, FL
National Provider Identifier
1912098906
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2452 Issued in FL
Practice address
1360 E Venice Ave
Venice, FL 34285-9066
Phone
(941) 488-2020
Fax
(941) 484-2200
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2452 FL Primary

Addresses

Primary practice location

1360 E Venice Ave
Venice, FL 34285-9066

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Other identifiers 1

IdentifierTypeStateIssuer
620100800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmertzlufft@useye.intellechartdirect.net

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
I20100902000849 FL Practitioner - Optometry 2567586118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as individual
Quality
85.28
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2452FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist CurrentSince Jan 25, 1991 Accepting new patients

Locations

2601 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 277-9041

1360 E Venice Ave
Venice, FL 34285

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dmertzlufft@useye.intellechartdirect.net

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1912098906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZLUFFT",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620100800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmertzlufft@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1360 E Venice Ave",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.