NPIMap

Organization Active NPI

Michael J. Collins, Jr, MD, PA

Doing business as Collins Vision

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1982649083
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MICHAEL J. COLLINS, JR, MD, PA
Doing business as
Collins Vision
Practice address
6900 International Center Blvd
Fort Myers, FL 33912-7151
Phone
(239) 936-4706
Fax
(239) 225-6775
NPI assigned
Jun 20, 2006
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Amy L Eason
Title
Billing Manager
Phone
(239) 936-4706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary
Ophthalmology Physician 207W00000X ME82860 FL

Addresses

Primary practice location

6900 International Center Blvd
Fort Myers, FL 33912-7151

Mailing address

6900 International Center Blvd
Fort Myers, FL 33912-7151
Phone (239) 936-4706

Other names 1

  • Collins Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041002000000 FL Part B Supplier - Clinic/Group Practice 1456320704 Receives reassigned benefits from 13 practitioners
Practice locations: Naples, FL; Fort Myers, FL; Punta Gorda, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2104471Collins Vision6900 International Center Blvd, Fort Myers, FL 33912Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Locations

6900 International Center Blvd
Fort Myers, FL 33912
Phone (239) 593-7747

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1982649083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127151",
            "telephone_number": "239-936-4706",
            "fax_number": "239-225-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127151",
            "telephone_number": "239-936-4706",
            "fax_number": "239-225-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. COLLINS, JR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "239-936-4706"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME82860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collins Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.