IndividualActive
Benjamin Konynenbelt, O.D.
NPI 1114300472 · Optometrist · Estero, FL
Provider details
- NPI number
- 1114300472
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OPC5272 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
19527 Highland Oaks Dr Ste 203
Estero, FL 33928-9637
Phone: (239) 317-8200
Approximate (ZIP-level) locationGet directions
Mailing address
19527 Highland Oaks Dr Ste 203
Estero, FL 33928-9637
Registry dates
- Enumerated
- 2015-07-06
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.