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ST LUCIE OPTICAL WEST INC NPI 1497108674


NPI Information

NPI: 1497108674
Provider Name: ST LUCIE OPTICAL WEST, INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

CLIA Number: 10D2075990

Address:
1715 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 335-3939
Get Directions

ST LUCIE OPTICAL WEST, 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 WEST, INC NPI is 1497108674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1715 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952-511
Phone: (772) 335-3939

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 CLIA number assigned to this NPI record is 10D2075990 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 7/22/2016.


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
1156FX1800XTechnician/TechnologistOpticianYes

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
1D6274MEDICARE UPINFLORIDA

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

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