# LC EYECARE INC

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

## Provider details

- **NPI number:** 1588429211
- **Authorized official:** ELENA LOPEZ CHAN OD (PRESIDENT)
- **Authorized official phone:** (305) 772-9565

## Contact information

- **Practice address:** 18500 VETERANS BLVD UNIT 4, PORT CHARLOTTE, FL 33954-1035
- **Practice address phone:** (941) 743-7449
- **Mailing address:** 2623 SW 4TH LN, CAPE CORAL, FL 33991-1118
- **Mailing address phone:** (305) 772-9565

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024