Organization
GRACE EYE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA M WADOWSKA O.D. (OPTOMETRIST)
(908) 307-4887
Entity
Organization
Contact information
Practice address
706 SW PINE ISLAND RD UNIT 102, CAPE CORAL, FL 33991-2053
(239) 451-5954
Mailing address
2601 BELLINGHAM CT, CAPE CORAL, FL 33991-3059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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