DR. KAREN M MEMOLI (OD) – Optometrist, NPI 1508965104

DR. KAREN M MEMOLI (OD) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC 3367 (FL). The NPI Number for DR. KAREN M MEMOLI (OD) is 1508965104

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREN M MEMOLI (OD)
NPI
1508965104
Phone
(239) 466-2020
Address
6091 S Pointe Blvd
Enumeration Date
21 September 2006
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394662020
Graduation Year
1999 (27 years ago)
PAC ID
4082633680
Group Practice PAC ID
4688664535
Professional Enrollment ID
I20051114000164
Address ID
FL339194899FO6091XBLVD400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for DR. KAREN M MEMOLI (OD)

  • 6091 S Pointe Blvd

    Fort Myers, FL 339194899

    Phone: (239) 466-2020

    Type: Location

  • 20600 Veterans Blvd

    Port Charlotte, FL 339542209

    Phone: (239) 466-2020

    Type: Location

  • Olean Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States

    PORT CHARLOTTE, FL 339526703

    Phone: (941) 625-1325

    Fax: (941) 423-8618

    Type: Mailing

  • PO BOX 11407

    BIRMINGHAM, AL 352468575

    Phone: (864) 359-1308

    Fax: (239) 496-3939

    Type: Mailing

  • 1331 S SUMTER BLVD

    NORTH PORT, FL 342872339

    Phone: (239) 466-2020

    Type: Location

  • 21275 Olean Blvd

    Port Charlotte, FL 339526703

    Phone: (941) 625-1325

    Fax: (941) 423-8618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Notal Vision, Inc. ($179).

Total Amount

$439

General + Research + Ownership

Payments

15

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051114000164IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes334289$0
92014Established patient complete exam of visual system312312$0
92134Imaging of retina189182$0
92133Imaging of optic nerve140137$0
92004New patient complete exam of visual system9797$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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Provider's Procedures

DR. KAREN M MEMOLI (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient7965
OPTOMETRYFL92083Measurement of field of vision during daylight conditions6054
OPTOMETRYFL92134Diagnostic imaging of retina3330

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688664535View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
-FL

Reviews

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Frequently asked questions

Can I verify DR. KAREN M MEMOLI (OD) with an NPI only?
You can start verification with NPI 1508965104 for DR. KAREN M MEMOLI (OD), then check state licensing separately.
Does CMS list DR. KAREN M MEMOLI (OD) as active?
Yes — DR. KAREN M MEMOLI (OD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KAREN M MEMOLI (OD)?
For research purposes, treat DR. KAREN M MEMOLI (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. KAREN M MEMOLI (OD) based?
DR. KAREN M MEMOLI (OD) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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