Provider Demographics
NPI:1932242757
Name:BRIGHT EYES LLC
Entity Type:Organization
Organization Name:BRIGHT EYES LLC
Other - Org Name:SUSAN SUMMERTON OD
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANETTE
Authorized Official - Last Name:SUMMERTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:239-597-3233
Mailing Address - Street 1:15586 VALLECAS LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-2829
Mailing Address - Country:US
Mailing Address - Phone:239-592-7280
Mailing Address - Fax:239-594-0829
Practice Address - Street 1:2550 IMMOKALEE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1410
Practice Address - Country:US
Practice Address - Phone:239-597-3233
Practice Address - Fax:239-594-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3286152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty