Organization Name: | ESTERO EYECARE |
NPI Number: | 1154700466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MARIE GEARING (PRESIDENT/OPTOMETRIST) |
Mailing Address: | 21753 Brixham Run Loop Estero |
State: | FL US |
Postal Code: | 33928 |
Phone Number: | 2398988712 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2015 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | OPC3648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |