Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optometrica O D P A

Organization Optometrist · NPI 1174879563

Optometrica O D P A is an Optometrist in Sanibel, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1571 Periwinkle Way
Sanibel, FL 33957-4513
Phone: (239) 560-6917
Fax: (239) 415-7341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC3502 (FL)

Record details

NPI number1174879563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phong Pham — President / Owner · (239) 560-6917
NPI enumeratedAugust 3, 2012
Last updated in NPPESOctober 1, 2012
Mailing address6747 Willow Lake Cir, Fort Myers, FL 33966-1253

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