Organization
FAMILY EYECARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN WOLF (OPTICIAN)
(941) 629-1090
Entity
Organization
Contact information
Practice address
21178 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6728
(941) 629-1090
(941) 629-1196
Mailing address
21178 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6728
(941) 629-1090
(941) 629-1196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
11/01/2007
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