Organization
CYPRESS LAKE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHN VANEENENAAM OD (OPTOMETRIST)
(616) 610-1685
Entity
Organization
Contact information
Practice address
7171 CYPRESS LAKE DR, FORT MYERS, FL 33907-6521
(239) 415-3806
Mailing address
7688 CYPRESS WALK DR, FORT MYERS, FL 33966-5805
(616) 610-1685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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