Cypress Lake Eye Care LLC

NPI #1669036430 in Fort Myers, Florida

Provider Information

NPI Number: 1669036430
Entity Type: Organization
Organization Name: Cypress Lake Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 27, 2019
Last Updated: Apr 27, 2019

Practice Location

Address: 7171 CYPRESS LAKE DR
City: Fort Myers
State: Florida
ZIP Code: 33907-6521
Phone: (239) 415-3806

Authorized Official

Name: ANDREW JOHN VANEENENAAM, OD
Title: OPTOMETRIST
Phone: (616) 610-1685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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