Walter Alvarez
Individual provider Active NPI Optometrist · Estero, FL
NPI 1982398178 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1982398178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC6239 (FL)
- Practice address
- 22907 Lyden Dr
Estero, FL 33928-7043 - Phone
- (305) 283-9140
- NPI assigned
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503001030 | FL | Practitioner - Optometry | 8921448218 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current |
Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
22907 Lyden Dr
Estero, FL 33928
Phone (239) 908-5453
9370 6 Mile Cypress Pkwy
Fort Myers, FL 33966
Phone (239) 895-0932
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6239 | FL | Yes |
Addresses
Primary practice location
22907 Lyden Dr
Estero, FL 33928-7043
Mailing address
4981 Bonsai Cir Apt 107
Palm Beach Gardens, FL 33418-6778
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.