Provider Demographics
NPI:1144624818
Name:MYERS, CONSTANCE RUTH (OD)
Entity type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:RUTH
Last Name:MYERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CONSTANCE
Other - Middle Name:RUTH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:7303 SW 88TH ST
Mailing Address - Street 2:3RD FLOOR ( LENSCRAFTERS OPTIQUE AT MACY S)
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7801
Mailing Address - Country:US
Mailing Address - Phone:305-662-3003
Mailing Address - Fax:305-662-3005
Practice Address - Street 1:7303 SW 88TH ST
Practice Address - Street 2:3RD FLOOR ( LENSCRAFTERS OPTIQUE AT MACY S)
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7801
Practice Address - Country:US
Practice Address - Phone:305-662-3003
Practice Address - Fax:305-662-3005
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1972152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management