Optometrica O D P a
Optometrist · Sanibel, FL
Practice location
1571 Periwinkle WaySanibel, FL 33957-4513
- Phone
- (239) 560-6917
- Fax
- (239) 415-7341
NPI record
- NPI
- 1174879563
- Entity type
- Organization (Type 2)
- Enumeration date
- August 3, 2012
- Last updated
- October 1, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
OPC3502 | FL |
Mailing address
6747 Willow Lake CirFort Myers, FL 33966-1253
- Phone
- (239) 560-6917
- Fax
- (239) 415-7341
Authorized official
- Name
- Dr. Phong Michael Pham, OD
- Title
- President / Owner
- Phone
- (239) 560-6917
About Optometrica O D P a
Optometrica O D P a is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1571 Periwinkle Way, Sanibel, FL 33957-4513. The NPI number 1174879563 was assigned on August 3, 2012 and the record was last updated on October 1, 2012.
Optometrica O D P a lists a license in the registry: #OPC3502 (FL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Phong Michael Pham, OD, President / Owner.
Frequently asked questions
What is the NPI number of Optometrica O D P a?
The NPI number is 1174879563.
What is the phone number of Optometrica O D P a?
The phone number listed for the practice location is (239) 560-6917.
Where is Optometrica O D P a located?
1571 Periwinkle Way, Sanibel, FL 33957-4513.
What is the taxonomy code for Optometrica O D P a?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.