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Individual

CHRISTINE DEE-REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
15620 MCGREGOR BLVD STE 100, FT MYERS BEACH, FL 33908-2528
(239) 992-2020
(239) 992-2005
Mailing address
26381 S TAMIAMI TRL STE 112, BONITA SPRINGS, FL 34134-7803
(239) 992-2020
(239) 992-2005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2994
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20728
BLUE CROSS BLUE SHIELD
FL
01
20728X
MEDICARE ID UNSPECIFIED
FL
05
620221700
FL
01
6689374
CIGNA
FL
01
7973589
AETNA
FL
Enumeration date
04/07/2006
Last updated
09/26/2013
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