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

Individual provider Optometrist · NPI 1912996984

Dr. Juan R Canizales, OD is an Optometrist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida, Hawaii and North Carolina.

Licensed in
FL, HI, NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone: (239) 418-0999
Fax: (239) 274-0773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2129 (NC)
Optometrist Taxonomy 152W00000X · Licence OPC4007 (FL)
Optometrist Taxonomy 152W00000X · Licence 740 (HI)

Record details

NPI number1912996984
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 20, 2005
Last updated in NPPESJuly 22, 2013

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