Vista Vision Eyecare Llc

NPI 1841415817 - Optometrist - 152W00000X

NPI Details
NPI 1841415817
Enumeration Date 04/16/2007
Last Updated 09/10/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIGUEL ENRIQUE MIGUEL
Position OPTOMETRIST
Phone (305) 804-0476
Fax
Practice Location
5170 S CLEVELAND AVE
FORT MYERS FL, 33907-2142, US
Phone (305) 804-0476
Fax
Business Location
13625 EAGLE RIDGE DR
APT 334
FORT MYERS FL, 33912-7824, US
Phone (305) 804-0476
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC3580
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According to our database, Vista Vision Eyecare Llc NPI is 1841415817, taxonomy code is 152W00000X and license number is OPC3580, license state is located at Florida. Vista Vision Eyecare Llc physically located at 5170 S Cleveland Ave, Fort Myers FL, 33907-2142. NPI Number 1033115704 has the healthcare provider type.

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1841415817 NPI number is provided on an as is basis without warranty of any kind. 1841415817 is maintained by the National Plan & Provider Enumeration System. The contents of Vista Vision Eyecare Llc are for informational purposes only.