Organization
TERRY R. VANDERHEYDEN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R. VANDERHEYDEN O.D. (OWNER)
(239) 261-5915
Entity
Organization
Contact information
Practice address
4060 TAMIAMI TRL N, SUITE 4, NAPLES, FL 34103-3596
(239) 261-5915
Mailing address
4060 TAMIAMI TRL N, SUITE 4, NAPLES, FL 34103-3596
(239) 261-5915
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC001061
FL
Other
Enumeration date
05/04/2008
Last updated
10/12/2010
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