MEDICARE: YVONNE ELIZABETH RYBCZUK

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	OPC6721	FL

General Provider Information

NPI Number	:	1487543344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE ELIZABETH RYBCZUK

Provider Business Mailing Address
First Line	:	6197 PARK RD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4630
Country	:	US
Telephone Number	:	267-264-9483
Fax Number	:

Provider Business Practice Location Address
First Line	:	6891 DANIELS PKWY STE 140
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-1503
Country	:	US
Telephone Number	:	239-243-8892
Fax Number	:

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

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/02/2025

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