National Provider Identifier Database

NICOLE A TYRRELL, OD – NPI #1558312025
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

NICOLE A TYRRELL, OD
4101 EVANS AVE
FORT MYERS, FL33901
Phone: 239-939-3456
Fax: 239-936-8776
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for NICOLE A TYRRELL

NPI Number 1558312025
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/12/2006
Last updated 01/23/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • FL License #: OPC3522
  • FL Medicaid: 620553400
  • FL Other: 20937 BLUE CROSS BLUE SHIELD
  • FL Other: 8780436 CIGNA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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