# WILLIAM A. OLIVOS, OD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265530703
- **Authorized official:** MR. WILLIAM A OLIVOS OD (OWNER/PRESIDENT)
- **Authorized official phone:** (772) 460-8487

## Contact information

- **Practice address:** 4976 S 25TH ST, FORT PIERCE, FL 34981-4923
- **Practice address phone:** (772) 460-8487
- **Practice address fax:** (772) 460-0225
- **Mailing address:** 4976 S 25TH ST, FORT PIERCE, FL 34981-5009
- **Mailing address phone:** (772) 460-8487
- **Mailing address fax:** (772) 460-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OPC 3500 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/29/2015