# GRACE EYE VISION LLC

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

## Provider details

- **NPI number:** 1134909997
- **Authorized official:** DR. MARIA M WADOWSKA O.D. (OPTOMETRIST)
- **Authorized official phone:** (908) 307-4887

## Contact information

- **Practice address:** 706 SW PINE ISLAND RD UNIT 102, CAPE CORAL, FL 33991-2053
- **Practice address phone:** (239) 451-5954
- **Mailing address:** 2601 BELLINGHAM CT, CAPE CORAL, FL 33991-3059

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2023
- **Last updated:** 09/29/2023