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General NPI Number Information
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NPI Number | 1811873615
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Entity Type | Organization
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Legal Business Name | LOW VISION OF SWFL, LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 4101 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9310
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Country | US
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Telephone | 941-799-8044
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Fax | 941-416-9112
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Provider Business Mailing Address
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Address Line | 4101 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9310
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Country | US
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Telephone | 941-799-8044
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Fax | 941-416-9112
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Authorized Official
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Title or Position | OWNER
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Name | DENNIS DENICK
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Credential | OD
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Telephone | 610-996-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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