Individual
DR. ALBERT CARLETON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
325 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2244
(239) 573-8774
Mailing address
PO BOX 150026, CAPE CORAL, FL 33915-0026
(239) 573-8774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-001738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U5360Z
PTAN
FL
Enumeration date
01/20/2006
Last updated
12/19/2012
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