Individual
CHERYL SIMONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 625-1325
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20896
BLUE CROSS BLUE SHIELD
FL
01
—
20896P
MEDICARE PTAN
FL
01
—
2546332
CIGNA
FL
01
—
5121718
AETNA
FL
05
—
620792900
—
FL
Enumeration date
04/07/2006
Last updated
07/22/2025
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