Healthcare Provider Details

I. General information

NPI: 1235049487
Provider Name (Legal Business Name): NESTOPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14951 STERLING OAKS DR
NAPLES FL
34110-4104
US

IV. Provider business mailing address

14951 STERLING OAKS DR
NAPLES FL
34110-4104
US

V. Phone/Fax

Practice location:
  • Phone: 239-206-0147
  • Fax:
Mailing address:
  • Phone: 239-206-0147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: AMANDA V LOUZON
Title or Position: FOUNDER
Credential: LDO
Phone: 908-625-0809