MEDICARE: VACHHANI EYECARE PLLC

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	:	1679420889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VACHHANI EYECARE PLLC

Provider Business Mailing Address
First Line	:	4600 SUMMERLIN RD STE C4
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3003
Country	:	US
Telephone Number	:	239-936-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 SUMMERLIN RD STE C4
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3003
Country	:	US
Telephone Number	:	239-936-2121
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	SONYA VACHHANI
Credential	:	OD
Telephone Number	:	941-894-8385

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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