Organization
DOCTORS EYECARE CENTER OF SW FLORIDA, LLC
Active
Other names
Doctors Eyecare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E. UNDERHILL O.D. (OWNER/MANAGER)
(239) 482-0355
Entity
Organization
Contact information
Practice address
5995 S POINTE BLVD, STE 111, FORT MYERS, FL 33919-3273
(239) 482-0355
(239) 482-8930
Mailing address
5995 S POINTE BLVD, STE 111, FORT MYERS, FL 33919-3273
(239) 482-0355
(239) 482-8930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078232700
—
FL
05
—
620835500
—
FL
Enumeration date
11/16/2006
Last updated
06/07/2022
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