Individual
GLARA N YI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6091 S POINTE BLVD, FT MYERS, FL 33919-4899
(239) 985-7171
(239) 985-7118
Mailing address
6091 S POINTE BLVD, FT MYERS, FL 33919-4899
(239) 985-7171
(239) 985-7118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45034
BCBS
FL
Enumeration date
10/13/2005
Last updated
05/10/2012
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