MEDICARE: DR. HEATHER L MORALES OD

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	OPC 3636	FL

General Provider Information

NPI Number	:	1992796783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER L MORALES OD

Provider Business Mailing Address
First Line	:	217 DEL PRADO BLVD S STE 101
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1743
Country	:	US
Telephone Number	:	239-573-3937
Fax Number	:	239-573-0263

Provider Business Practice Location Address
First Line	:	217 DEL PRADO BLVD S STE 101
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1743
Country	:	US
Telephone Number	:	239-573-3937
Fax Number	:	239-573-0263

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	02/17/2026

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