MEDICARE: SANCHEZ AND ROCKMAN EYE ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1255009890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANCHEZ AND ROCKMAN EYE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	4125 CLEVELAND AVE STE 1865
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9188
Country	:	US
Telephone Number	:	239-936-7747
Fax Number	:	239-992-9311

Provider Business Practice Location Address
First Line	:	4125 CLEVELAND AVE STE 1865
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9188
Country	:	US
Telephone Number	:	239-936-7747
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. CARLOS SANCHEZ
Credential	:	O.D
Telephone Number	:	239-560-1571

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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