Estero Retina

Ophthalmology Physician · Estero, FL

Organization Active NPI

NPI number 1932500634

Practice location

9500 Corkscrew Palms Cir
Estero, FL 33928-3307
Phone
(321) 222-3937

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NPI record

NPI
1932500634
Entity type
Organization (Type 2)
Enumeration date
September 12, 2014
Last updated
September 12, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X ME105560 FL

Mailing address

8951 Bonita Beach Rd SE Ste 525-298
Bonita Springs, FL 34135-4201
Phone
(321) 222-3937

Authorized official

Name
Ms. Karla Kellam
Title
Administrator
Phone
(904) 713-2126

About Estero Retina

Estero Retina is a healthcare organization registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 9500 Corkscrew Palms Cir, Estero, FL 33928-3307. The NPI number 1932500634 was assigned on September 12, 2014 and the record was last updated on September 12, 2014.

Estero Retina lists a license in the registry: #ME105560 (FL) for Ophthalmology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Karla Kellam, Administrator.

Frequently asked questions

What is the NPI number of Estero Retina?

The NPI number is 1932500634.

What is the phone number of Estero Retina?

The phone number listed for the practice location is (321) 222-3937.

Where is Estero Retina located?

9500 Corkscrew Palms Cir, Estero, FL 33928-3307.

What is the taxonomy code for Estero Retina?

The primary taxonomy code is 207W00000X – Ophthalmology Physician.

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.

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