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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558312025 NPPES
Florida MEDICAID 620553400
Florida Other 8780436
Florida Other 20937

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