# CAPE CORAL EYE CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tyson Eye at Bonita Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114321502
- **Authorized official:** DR. FARRELL C TYSON M.D. (MEDICAL DIRECTOR/ OWNER)
- **Authorized official phone:** (239) 542-2020

## Contact information

- **Practice address:** 3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
- **Practice address phone:** (239) 947-6000
- **Practice address fax:** (239) 947-3914
- **Mailing address:** PO BOX 101427, CAPE CORAL, FL 33910-1427
- **Mailing address phone:** (239) 542-2020
- **Mailing address fax:** (239) 541-1492

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/15/2014