Tyrrell, Nicole Anne
Tyrrell, Nicole Anne is an individual health care provider with primary practice located at 4101 Evans Ave , Fort Myers FL 33901. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tyrrell, Nicole Anne can be contacted via phone (239) 939-3456.Contact Information
Primary practice address
4101 Evans Ave
Fort Myers FL 33901
Phone: (239) 939-3456
Fax: (239) 936-8776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3522 | Florida |
Profile Details
| NPI number | 1558312025 |
|---|---|
| LBN Legal business name | Tyrrell, Nicole Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jan 23rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558312025 | NPPES |
| Florida | MEDICAID | 620553400 | |
| Florida | Other | 8780436 | |
| Florida | Other | 20937 |
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