ST LUCIE OPTICAL INC NPI 1477666204

NPI Information

NPI: 1477666204
Provider Name: ST LUCIE OPTICAL INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1700 SE HILLMOOR DR
SUITE 100
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 878-6242
Get Directions

ST LUCIE OPTICAL INC is an optician technician technologist in Port St Lucie, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. ST LUCIE OPTICAL INC NPI is 1477666204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 SE HILLMOOR DR
SUITE 100
PORT ST LUCIE, FL
ZIP 34952-544
Phone: (772) 878-6242
Fax: (772) 878-7111

The provider's authorized official is Kathy Lindsey .
The authorized official title is Office Manager and has the following contact phone number (772) 461-5660.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	DO0002584	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0853710002	MEDICARE ID-TYPE UNSPECIFIED
2	D6274	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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