Deactivated NPI 1073576013 Deactivated / Inactive NPI Male Practitioner

Dr. Eric J Eiselman , OD

Optometrist • Fort Myers, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eric Eiselman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2006

NPI Deactivation Date October 30, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Eric Eiselman, OD was a registered Optometrist practicing in Fort Myers, FL. Throughout an active medical career spanning 18 years, Dr. Eiselman provided care at the practice location at 4101 EVANS AVE until profile deactivation on 2024-10-30.

Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4101 Evans Ave

Fort Myers, FL 33901

Telephone 2399393456

Fax 2397902432

Associated Practice Facility / Clinic

🏢 Eye Centers Of Florida Facility NPI 1831286202

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Myers, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.2 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

77 Specialists

Practicing in Fort Myers, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	381	368	$250.00	$127.67
92134 Imaging of retina	365	347	$80.00	$41.14
99213 Established patient office or other outpatient visit, typically 15 minutes	176	103	$185.00	$94.47
92133 Imaging of optic nerve	97	80	$75.00	$35.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	80	$260.00	$132.98
92004 New patient complete exam of visual system	86	86	$294.01	$149.22
92250 Photography of the retina	57	57	$75.00	$37.58
92083 Exam of visual field with extended testing	49	47	$125.00	$64.54
83861 Microfluid analysis of tears	39	23	$40.00	$22.03
92285 Photography of content of eyes	23	19	$50.00	$24.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$230.00	$117.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	549	506	$250.00	$126.41
92134 Imaging of retina	512	481	$80.00	$40.48
99213 Established patient office or other outpatient visit, typically 15 minutes	253	162	$185.00	$92.22
92133 Imaging of optic nerve	143	112	$75.00	$35.29
92004 New patient complete exam of visual system	137	137	$295.00	$148.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	109	$260.00	$130.67
92083 Exam of visual field with extended testing	103	94	$125.00	$62.69
83861 Microfluid analysis of tears	93	47	$40.00	$22.03
92250 Photography of the retina	61	61	$75.00	$37.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$230.00	$116.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	593	536	$262.45	$128.77
92134 Imaging of retina	419	403	$85.54	$41.20
99213 Established patient office or other outpatient visit, typically 15 minutes	187	147	$168.89	$93.81
92250 Photography of the retina	139	138	$127.12	$37.87
92004 New patient complete exam of visual system	84	84	$312.26	$151.71
92133 Imaging of optic nerve	82	77	$78.71	$35.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	71	$247.19	$132.08
92083 Exam of visual field with extended testing	61	59	$134.18	$63.70
92285 Photography of content of eyes	45	44	$47.27	$23.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$97.00	$59.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$240.50	$118.27
92012 Established patient problem focused exam of visual system	14	14	$179.57	$90.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	701	609	$270.00	$129.45
92134 Imaging of retina	424	400	$90.00	$41.81
99213 Established patient office or other outpatient visit, typically 15 minutes	203	168	$162.00	$95.51
92250 Photography of the retina	157	156	$144.00	$40.05
92133 Imaging of optic nerve	106	83	$83.00	$36.33
92285 Photography of content of eyes	99	96	$47.00	$24.00
92083 Exam of visual field with extended testing	78	68	$141.00	$64.85
92004 New patient complete exam of visual system	73	73	$324.00	$154.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	47	$237.00	$135.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	32	$97.00	$58.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$242.00	$118.31
92012 Established patient problem focused exam of visual system	16	16	$177.00	$92.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	661	581	$261.60	$129.75
92250 Photography of the retina	450	425	$139.07	$46.43
99213 Established patient office or other outpatient visit, typically 15 minutes	276	183	$156.78	$78.57
92134 Imaging of retina	114	112	$87.75	$41.93
92285 Photography of content of eyes	98	94	$45.71	$22.53
92133 Imaging of optic nerve	93	83	$80.68	$37.83
92012 Established patient problem focused exam of visual system	73	71	$170.10	$90.62
92004 New patient complete exam of visual system	69	69	$312.48	$154.33
92083 Exam of visual field with extended testing	34	32	$136.68	$64.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$232.71	$112.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$235.35	$114.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	782	694	$256.93	$129.09
92250 Photography of the retina	654	611	$137.00	$51.70
99213 Established patient office or other outpatient visit, typically 15 minutes	385	226	$154.00	$76.13
92012 Established patient problem focused exam of visual system	146	128	$169.00	$90.38
92004 New patient complete exam of visual system	111	111	$309.00	$154.58
92285 Photography of content of eyes	108	97	$45.00	$21.85
68761 Closure of tear duct opening using plug	101	46	$309.00	$116.33
92134 Imaging of retina	92	87	$86.00	$41.88
92133 Imaging of optic nerve	79	74	$79.00	$37.35
92083 Exam of visual field with extended testing	38	36	$134.00	$65.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$230.00	$113.06
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$56.00	$28.15
92071 Fitting of contact lens for treatment of eye surface disease	14	11	$79.00	$38.73
92060 Exam to measure eye deviation and range of motion	11	11	$135.00	$62.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	859	768	$256.92	$128.92
92250 Photography of the retina	713	670	$137.00	$57.48
99213 Established patient office or other outpatient visit, typically 15 minutes	294	190	$154.00	$75.11
92012 Established patient problem focused exam of visual system	130	122	$169.00	$89.22
92004 New patient complete exam of visual system	80	80	$309.00	$154.82
92275 Recording of retinal electrical responses to external stimuli	78	78	$308.00	$152.80
92133 Imaging of optic nerve	54	50	$79.00	$38.64
92134 Imaging of retina	50	49	$86.00	$41.86
68761 Closure of tear duct opening using plug	25	12	$309.00	$116.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$230.00	$113.40
92083 Exam of visual field with extended testing	17	17	$134.00	$65.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	871	794	$254.79	$126.50
92250 Photography of the retina	773	733	$136.42	$63.53
92275 Recording of retinal electrical responses to external stimuli	347	342	$303.78	$151.52
99213 Established patient office or other outpatient visit, typically 15 minutes	275	197	$152.72	$75.49
92226 Examination of eye by ophthalmoscope with retinal drawing	268	135	$50.25	$25.26
83861 Microfluid analysis of tears	169	79	$30.00	$21.97
92012 Established patient problem focused exam of visual system	166	149	$175.11	$87.43
92225 Examination of eye by ophthalmoscope with retinal drawing	105	53	$53.87	$27.38
92134 Imaging of retina	97	96	$85.07	$41.67
92004 New patient complete exam of visual system	78	78	$303.00	$152.59
95930 Measurement of nerve conduction using visual stimulation testing with report	56	54	$267.61	$132.52
92133 Imaging of optic nerve	53	53	$79.00	$37.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$222.28	$109.52
68761 Closure of tear duct opening using plug	34	14	$304.47	$113.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$230.00	$113.52
92083 Exam of visual field with extended testing	22	22	$132.50	$64.07

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC4019

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Kelly Zipko , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003298977

Certified Registered Nurse Anesthetist

Dr. William Cutting , OD

Optometrist

NPI 1013971050

Doctor of Optometry

Dr. Mark Sibley , MD

Ophthalmology

NPI 1184687089

Doctor of Medicine (M.D.)

Mariya Bozhenok , PA-C

Nurse Practitioner - Primary Care

NPI 1194077487

Physician Assistant (Certified)

Dr. Arthur Young , OD

Optometrist

NPI 1235192337

Doctor of Optometry

Michael Wesley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1306861901

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

⚠️

NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

📍

Updated Business Mailing Address September 03, 2024

Registered at PO BOX 162264, ALTAMONTE SPRINGS, FL 327162264 (Tel: 9417922020)

✅

NPI Profile Active January 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2014

Registered at 4101 EVANS AVE, FORT MYERS, FL 33901 (Tel: 2399393456)

📍

Updated Business Mailing Address January 13, 2014

Registered at 4101 EVANS AVE, FORT MYERS, FL 33901 (Tel: 2399393456)

👤

Provider Name / Credentials Updated January 13, 2014

Recorded as ERIC EISELMAN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2014

Optometrist (License #OPC4019 in FL)

🟢

Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073576013

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 10, 2006

Last Update: January 13, 2014

Deactivation Date: October 30, 2024

Update or Correct Profile

Mailing Address

4101 Evans Ave

Fort Myers, FL 33901

Phone: 2399393456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.