# FULL SPECTRUM FAMILY VISION CARE PA

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

## Provider details

- **NPI number:** 1932372158
- **Authorized official:** DR. HEATHER L TRAPHEAGEN OD (OWNER/PRESIDENT)
- **Authorized official phone:** (239) 573-3937

## Contact information

- **Practice address:** 217 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990-1743
- **Practice address phone:** (239) 573-3937
- **Practice address fax:** (239) 573-0263
- **Mailing address:** 217 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990-1743
- **Mailing address phone:** (239) 573-3937
- **Mailing address fax:** (239) 573-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3636 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OPC3636 | FL | — |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 05/26/2020