Organization
CAPE CORAL EYE CENTER, P.A.
Active
Other names
Tyson Eye at Bonita Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRELL C TYSON M.D. (MEDICAL DIRECTOR/ OWNER)
(239) 542-2020
Entity
Organization
Contact information
Practice address
3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
(239) 947-6000
(239) 947-3914
Mailing address
PO BOX 101427, CAPE CORAL, FL 33910-1427
(239) 542-2020
(239) 541-1492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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