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Organization
CAPE CORAL EYE CENTER, P.A.
Active
Organization
CAPE CORAL EYE CENTER, P.A.
Active
Other names
Tyson Eye at Bonita Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRELL C TYSON M.D. (MEDICAL DIRECTOR/ OWNER)
(239) 542-2020
Entity
Organization
Contact information
Practice address
3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
(239) 947-6000
(239) 947-3914
Mailing address
PO BOX 101427, CAPE CORAL, FL 33910-1427
(239) 542-2020
(239) 541-1492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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