EDISON EYE CARE, PLLC – Optometrist, NPI 1255055646

EDISON EYE CARE, PLLC is a healthcare provider. based in Naples, Florida. specializing in Optometrist. The NPI Number for EDISON EYE CARE, PLLC is 1255055646

Main info

Organization
Name
EDISON EYE CARE, PLLC
NPI
1255055646
Phone
Not provided
Address
1214 SWEETWATER LN UNIT 2305
Authorized Official
BENJAMIN KONYNENBELT MEMBER OD
Enumeration Date
28 September 2022
Last Update Date
28 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for EDISON EYE CARE, PLLC

  • 1214 SWEETWATER LN UNIT 2305

    NAPLES, FL 341104177

    Phone:

    Type: Mailing

  • 19527 HIGHLAND OAKS DR STE 203

    ESTERO, FL 339289637

    Phone: (616) 834-2598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-28

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
O20230428001456OClinic/Group PracticeFLTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34110)

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Reviews

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Frequently asked questions

What federal number belongs to EDISON EYE CARE, PLLC?
The federal identifier for EDISON EYE CARE, PLLC is NPI 1255055646.
Is EDISON EYE CARE, PLLC's NPI currently valid?
The extract we use shows EDISON EYE CARE, PLLC as active.
What kind of provider is EDISON EYE CARE, PLLC?
The page reflects Optometrist for EDISON EYE CARE, PLLC. Clinical services aligned with this taxonomy classification.
What location shows for EDISON EYE CARE, PLLC?
We surface Naples, Florida for EDISON EYE CARE, PLLC based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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