Active NPI
Joanna Madonna Kluesner, OD
- Optometrist
- Port Charlotte, FL
National Provider Identifier
1952909855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5874
- Practice address
- 701 J C Center CT Unit 18
Port Charlotte, FL 33954-2826 - Phone
- (941) 624-3939
- NPI assigned
- Oct 13, 2020
- 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 | OPC5874 | FL | Primary |
Addresses
Primary practice location
701 J C Center CT Unit 18
Port Charlotte, FL 33954-2826
Mailing address
701 J C Center CT Unit 18
Port Charlotte, FL 33954-2826
Phone (941) 624-3939
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Spectrum Family Vision Care PA | Current | Accepting new patients | |
| Rhiannon L. Maggiore, O.D, P.a. | Optometrist | Current | Accepting new patients |
| Full Spectrum Family Vision Care PA | Optometrist | Current | Accepting new patients |
Locations
217 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 573-3937
701 J C Center Ct
Unit 18
Pt Charlotte, FL 33954
Phone (941) 204-4260
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 and National Provider Directory roles.
-
- Optometrist
- Cape Coral, FL
- NPI 1932372158
-
- Optometrist
- Port Charlotte, FL
- NPI 1013262237
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1295900728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1952909855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 J C CENTER CT UNIT 18",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339542826",
"telephone_number": "941-624-3939",
"fax_number": "941-624-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 J C CENTER CT UNIT 18",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339542826",
"telephone_number": "941-624-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUESNER",
"first_name": "JOANNA",
"middle_name": "MADONNA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.