# AMY L. MOTT OD PA

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

## Provider details

- **NPI number:** 1902070055
- **Authorized official:** DR. AMY LYNN MOTT OD (PRESIDENT)
- **Authorized official phone:** (239) 433-1121

## Contact information

- **Practice address:** 13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
- **Practice address phone:** (239) 433-1121
- **Mailing address:** 13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
- **Mailing address phone:** (239) 433-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2547 | FL | Yes |

## Other

- **Enumeration date:** 04/19/2008
- **Last updated:** 04/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K8665 | GROUP\# | FL |