Healthcare Provider Details

I. General information

NPI: 1982520599
Provider Name (Legal Business Name): VICTORIA JEAN ABBOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA JEAN SUTHERLAND O.D.

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 NAPLES BLVD
NAPLES FL
34109-2070
US

IV. Provider business mailing address

7596 CARNEGIE WAY
NAPLES FL
34119-9840
US

V. Phone/Fax

Practice location:
  • Phone: 239-216-4366
  • Fax:
Mailing address:
  • Phone: 239-273-9350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6994
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: