Individual
MARK EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 335-1782
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003592
GA
152WC0802X
Corneal and Contact Management Optometrist
OPC6621
FL
Other
Enumeration date
07/01/2024
Last updated
04/14/2026
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