Healthcare Provider Details

I. General information

NPI: 1235127549
Provider Name (Legal Business Name): EYE HEALTH OF FT. MEYERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 10/01/2025
Certification Date: 04/01/2024
Deactivation Date: 08/18/2025
Reactivation Date: 10/01/2025

III. Provider practice location address

6091 S POINTE BLVD
FORT MYERS FL
33919-4899
US

IV. Provider business mailing address

44 BARKLEY CIR
FORT MYERS FL
33907-7530
US

V. Phone/Fax

Practice location:
  • Phone: 239-466-2020
  • Fax: 239-466-1199
Mailing address:
  • Phone: 239-985-7171
  • Fax: 239-985-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS ALBERT QUIGLEY III
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 239-985-7171