Individual provider · NPI-1

Monica Acosta, L.D.O.

Technician/Technologist, Optician · Fort Myers, FL

NPI number1336493436

StatusActive

Last updated in NPPESOct 29, 2012

Details

NPI: 1336493436
Entity type: Individual (NPI-1)
Name: Monica Acosta
Credential: L.D.O.
Sex: Female
Sole proprietor: No
Enumeration date: Oct 29, 2012
Last updated: Oct 29, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
156FX1800X	Technician/Technologist, Optician	DO 6378	FL	Yes
156FC0801X	Technician/Technologist, Contact Lens Fitter	DO 6378	FL
156FX1101X	Technician/Technologist, Ophthalmic Assistant	–	–
156FX1700X	Technician/Technologist, Ocularist	–	–
156FX1900X	Technician/Technologist, Orthoptist	–	–

Practice location

13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327

Phone 239-334-2105 · Fax 239-936-0047

Mailing address

13691 Metro Pkwy
Suite 100
Fort Myers, FL 33912-4327

Phone 239-334-2105 · Fax 239-936-0047

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