# ST LUCYS EYE INSTITUTE OF OVIEDO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Lucys Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285085985
- **Authorized official:** JOHN LIVECCHI MD (OWNER)
- **Authorized official phone:** (407) 459-1181

## Contact information

- **Practice address:** 1975 S JOHN YOUNG PKWY, SUITE 204, KISSIMMEE, FL 34741-0603
- **Practice address phone:** (407) 392-2020
- **Practice address fax:** (352) 289-6002
- **Mailing address:** 2106 N ORANGE AVE, SUITE 100, ORLANDO, FL 32804-5509
- **Mailing address phone:** (407) 459-1181
- **Mailing address fax:** (321) 732-8440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 06/24/2016
- **Last updated:** 01/12/2017