Provider Demographics
NPI:1679659049
Name:SCHWARTZ, ELIZABETH D (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:D
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12320 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3844
Mailing Address - Country:US
Mailing Address - Phone:239-936-4514
Mailing Address - Fax:239-936-1876
Practice Address - Street 1:12320 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3844
Practice Address - Country:US
Practice Address - Phone:239-936-4514
Practice Address - Fax:239-936-1876
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3454152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist