Unknown Individual – Optometrist, NPI 1790720209
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4280, Southeast 20th Place, Cape Coral, Lee County, Florida, 33904, United States
602
CAPE CORAL, FL 339042407
Phone: (239) 542-2441
Fax: (608) 296-3704
Type: Mailing
Walmart Supercenter, 4331, 8th Street South, Wisconsin Rapids, Wood County, Wisconsin, 54494, United States
WISCONSIN RAPIDS, WI 544947833
Phone: (715) 423-3029
Fax: (715) 423-3029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33904)
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