Healthcare Provider Details

I. General information

NPI: 1851576706
Provider Name (Legal Business Name): BEEHLER, IHNS, & SMITH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 DEL PRADO BLVD S
CAPE CORAL FL
33990-3686
US

IV. Provider business mailing address

4225 EVANS AVE
FORT MYERS FL
33901-9311
US

V. Phone/Fax

Practice location:
  • Phone: 239-772-4057
  • Fax:
Mailing address:
  • Phone: 239-936-7685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD IHNS
Title or Position: ADMINISTRATOR
Credential:
Phone: 239-936-7685