Optometrica O D P a

NPI #1174879563 in Sanibel, Florida

Provider Information

NPI Number: 1174879563
Entity Type: Organization
Organization Name: Optometrica O D P a
Primary Specialty: Optometrist
Enumeration Date: Aug 3, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 1571 PERIWINKLE WAY
City: Sanibel
State: Florida
ZIP Code: 33957-4513
Phone: (239) 560-6917

Authorized Official

Name: DR. PHONG MICHAEL PHAM, OD
Title: PRESIDENT / OWNER
Phone: (239) 560-6917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Robert V Daddario, OD	Optometrist	Venice	AI Deep Dive
DR. Troy Lee Bedinghaus, O.D.	Optometrist	Lakewood Ranch	AI Deep Dive

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