# CAPE CORAL EYE CENTER, P.A.

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

## Provider details

- **NPI number:** 1629392261
- **Authorized official:** DR. JENNIFER GALLO OD (OPTOMETRIST)
- **Authorized official phone:** (239) 542-2020

## Contact information

- **Practice address:** 4085 HANCOCK BRIDGE PKWY, SUITE 120, N FORT MYERS, FL 33903-7219
- **Practice address phone:** (239) 542-2020
- **Practice address fax:** (239) 567-5248
- **Mailing address:** P.O. BOX 101427, CAPE CORAL, FL 33910
- **Mailing address phone:** (239) 540-8718
- **Mailing address fax:** (239) 945-0847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3656 | FL | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620840100 | — | FL |