Brooks Eye Care Llc

NPI 1063841633 - Optometrist - 152W00000X

NPI Details
NPI 1063841633
Enumeration Date 11/05/2013
Last Updated 11/14/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JORDAN TROTTER JORDAN
Position PRESIDENT
Phone (239) 789-7899
Fax
Practice Location
8890 SALROSE LN
UNIT 203
FORT MYERS FL, 33912-2085, US
Phone (239) 789-7899
Fax
Business Location
8034 SILVER BIRCH WAY
LEHIGH ACRES FL, 33971-3769, US
Phone (239) 789-7899
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 4115
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According to our database, Brooks Eye Care Llc NPI is 1063841633, taxonomy code is 152W00000X and license number is OPC 4115, license state is located at Florida. Brooks Eye Care Llc physically located at 8890 Salrose Ln, Fort Myers FL, 33912-2085. NPI Number 1033115704 has the healthcare provider type.

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1063841633 NPI number is provided on an as is basis without warranty of any kind. 1063841633 is maintained by the National Plan & Provider Enumeration System. The contents of Brooks Eye Care Llc are for informational purposes only.