DR. MICHAEL RYAN DERHODGE O.D.
NPI 1710295720
Optometrist in Fort Myers, FL

Active since September 24, 2010
6091 S POINTE BLVD, FORT MYERS, FL 33919(239) 466-2020(239) 466-7150 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Ryan Derhodge O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL RYAN DERHODGE O.D. (NPI 1710295720) is an individual optometrist in Fort Myers, Florida, licensed in Florida (OPC4605) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1710295720
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL RYAN DERHODGECredential: O.D.
Location Address6091 S POINTE BLVDFort Myers, FL 33919-4899
Mailing Address6091 S Pointe BlvdFort Myers, FL 33919-4899 · (239) 466-2020 · Fax (239) 466-7150
Fax(239) 466-7150
Sole ProprietorNo
Enumeration DateSeptember 24, 2010
Last NPPES UpdateJanuary 30, 2013
NPI 1710295720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC4605
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6091 S POINTE BLVD, Fort Myers, FL 33919

Other Identifiers 6

Other149YEFL · Bc/bs Of Florida
Medicare PINDZ251V
Medicare PINDZ251TFL
OtherOPC4605FL · Florida Department Of Health License
Medicare PINDZ251UFL
Medicare PINDZ251FL

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
6091 S POINTE BLVD
FORT MYERS, FL 33919
Nurse Practitioner (Family)
6091 S POINTE BLVD
FORT MYERS, FL 33919
Optometrist
6091 S POINTE BLVD
FORT MYERS, FL 33919
Ophthalmology
6091 S POINTE BLVD
FORT MYERS, FL 33919
Ophthalmology
6091 S POINTE BLVD
FORT MYERS, FL 33919
Optometrist
6091 S POINTE BLVD
FT MYERS, FL 33919
Ophthalmology
6091 S POINTE BLVD
FT MYERS, FL 33919
Nurse Practitioner (Family)
6091 S POINTE BLVD
FORT MYERS, FL 33919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derhodge's NPI number?

The NPI number for Michael Derhodge is 1710295720. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Michael Derhodge located?

Michael Derhodge practices at 6091 S Pointe Blvd, Fort Myers, FL 33919. The listed phone number is (239) 466-2020.

What is Michael Derhodge's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Michael Derhodge was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.