Individual
DR. MAIVYS LONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16964 ALICO MISSION WAY STE 204, FORT MYERS, FL 33908-4845
(239) 416-9894
(239) 294-3531
Mailing address
16964 ALICO MISSION WAY STE 204, FORT MYERS, FL 33908-4845
(239) 416-9894
(239) 294-3531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2190DT
KY
152W00000X
Optometrist
Primary
OPC6227
FL
Other
Enumeration date
07/13/2020
Last updated
03/06/2026
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