Individual
DR. MICAH DRAY BRIENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17966 N TAMIAMI TRL # 160, NORTH FORT MYERS, FL 33903-1414
(239) 543-3336
(239) 335-1989
Mailing address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 335-1944
(239) 939-1575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4003
FL
Other
Enumeration date
06/15/2006
Last updated
01/11/2017
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