# FULL SPECTRUM FAMILY VISION CARE PA

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

## Provider details

- **NPI number:** 1295900728
- **Authorized official:** DR. HEATHER L TRAPHEAGEN OD (OPTOMETRIST/PRESIDENT)
- **Authorized official phone:** (239) 745-5050

## Contact information

- **Practice address:** 1224 DEL PRADO BLVD S, SUITE A, CAPE CORAL, FL 33990-3686
- **Practice address phone:** (239) 745-5050
- **Mailing address:** 1722 SE 2ND ST, CAPE CORAL, FL 33990-5303
- **Mailing address phone:** (239) 745-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OPC3636 | FL | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008