# INSTITUTIONAL EYE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063942712
- **Authorized official:** ZACHARY LOSE (MEMBER)
- **Authorized official phone:** (866) 604-2931

## Contact information

- **Practice address:** 27499 RIVERVIEW CENTER BLVD STE 429, BONITA SPRINGS, FL 34134-4342
- **Practice address phone:** (866) 604-2931
- **Mailing address:** PO BOX 366550, BONITA SPRINGS, FL 34136-6550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 06/15/2017