MEDICARE: DR. ELIZABETH M GEARING O.D.

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	OPC3648	FL

General Provider Information

NPI Number	:	1447306766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH M GEARING O.D.

Provider Business Mailing Address
First Line	:	27181 SUN AQUA LN
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4740
Country	:	US
Telephone Number	:	239-495-3089
Fax Number	:

Provider Business Practice Location Address
First Line	:	26831 S BAY DR
Second Line	:	SUITE 108
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-4391
Country	:	US
Telephone Number	:	239-498-4420
Fax Number	:	239-495-6084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	07/08/2007

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