Individual
MICHAEL MACLEOD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6091 S POINTE BLVD, FT MYERS, FL 33919-4899
(239) 466-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME91003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271451500
—
FL
01
—
52220
BCBS
FL
01
—
SF708
PTAN
FL
01
—
U3449X
PTAN
FL
01
—
U3449Z
PTAN
FL
Enumeration date
10/14/2005
Last updated
07/17/2025
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