Individual provider · NPI-1

Daniel G Acosta, L.D.O.

Technician/Technologist, Optician · Fort Myers, FL

NPI number1649260894
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1649260894
Entity type
Individual (NPI-1)
Name
Mr. Daniel G Acosta
Credential
L.D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2005
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO4769FLYes
156FC0801X Technician/Technologist, Contact Lens FitterDO4769FL
156FX1101X Technician/Technologist, Ophthalmic AssistantDO4769FL

Practice location

13691 Metro Pkwy Ste 100
Fort Myers, FL 33912-4348

Phone 239-334-2015 · Fax 239-936-0047

Mailing address

13691 Metro Parkway
Suite 100
Fort Myers, FL 33912-8125

Phone 239-334-2015 · Fax 239-936-0047

Other practice locations

11902 Bonita Beach Rd Se
#9-10b-Red
Bonita Springs, FL 34135-5913

Phone 239-565-6342 · Fax 239-495-9777

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician/Technologist, Optician providers in Fort Myers, FL