Healthcare Provider Details

I. General information

NPI: 1902735111
Provider Name (Legal Business Name): EMMA KATE HUERTER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 PARK AVE
MARCO ISLAND FL
34145-2751
US

IV. Provider business mailing address

4120 DEL PRADO BLVD S
CAPE CORAL FL
33904-7165
US

V. Phone/Fax

Practice location:
  • Phone: 239-394-3068
  • Fax: 239-394-1078
Mailing address:
  • Phone: 239-542-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6929
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: