Organization
DR. COLIN MCDOWELL, OPTOMETRIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN C MCDOWELL O.D. (PRESIDENT)
(239) 248-5050
Entity
Organization
Contact information
Practice address
4770 COLONIAL BLVD, FORT MYERS, FL 33966-1034
(239) 939-1511
Mailing address
20260 ROOKERY DR, ESTERO, FL 33928-3034
(239) 248-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11787289
CAQH
FL
01
—
20256
SPECTERA/UHC
FL
Enumeration date
07/20/2008
Last updated
07/20/2008
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