MEDICARE: LEONARD F AVRIL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC2161	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073604708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD F AVRIL O.D.

Provider Business Mailing Address
First Line	:	2221 SANTA BARBARA BLVD
Second Line	:	SUITE 107
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4318
Country	:	US
Telephone Number	:	239-574-5406
Fax Number	:	239-574-9212

Provider Business Practice Location Address
First Line	:	2221 SANTA BARBARA BLVD
Second Line	:	SUITE 107
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4318
Country	:	US
Telephone Number	:	239-574-5406
Fax Number	:	239-574-9212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	01/29/2013

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Directions to “ LEONARD F AVRIL O.D.” Practice Location

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