Individual
RICHARD MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1850 BOY SCOUT DR, UNIT 107, FORT MYERS, FL 33907-2127
(239) 931-0136
(239) 931-0910
Mailing address
1850 BOY SCOUT DR, UNIT 107, FORT MYERS, FL 33907-2127
(239) 931-0136
(239) 931-0910
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 1746
FL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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