Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | DO 6378 | FL |
N | 156FX1101X | Ophthalmic Assistant | ||
N | 156FX1700X | Ocularist | ||
Y | 156FX1800X | Optician | DO 6378 | FL |
N | 156FX1900X | Orthoptist |
NPI | 1336493436 |
---|---|
Provider Name | Monica Acosta |
First Address | Fort Myers, FL 33912-4327 |
Second Address | Fort Myers, FL 33912-4327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 29/10/2012 |