NPI 1164950820

Cortez Ramon Lewis, OD

Practitioner Optometrist West Melbourne, FL

Practice location

Address: 1573 S Wickham Rd, West Melbourne, FL 32904-3540
Phone: (321) 220-0394
Fax: (239) 232-8881

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC5361 (FL)

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Registry record

NPI: 1164950820
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2017
Record last updated: 13 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.