# FLORIDA VISION OPTIQUE, INC

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

## Provider details

- **NPI number:** 1265856702
- **Authorized official:** GEORGE L NEAL (PRESIDENT)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 10050 SW INNOVATION WAY STE 101, PORT SAINT LUCIE, FL 34987-2117
- **Practice address phone:** (772) 345-5050
- **Practice address fax:** (772) 223-7159
- **Mailing address:** 1050 SE MONTEREY RD STE 104, STUART, FL 34994-4512
- **Mailing address phone:** (772) 345-5050
- **Mailing address fax:** (772) 223-7159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OPC2170 | FL | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 11/30/2022
