# L.C. ERBE O.D. P.A.

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

## Provider details

- **NPI number:** 1487024568
- **Authorized official:** DR. LYNNE C ERBE OD (OWNER)
- **Authorized official phone:** (772) 873-0037

## Contact information

- **Practice address:** 1721 SW GATLIN BLVD, PORT SAINT LUCIE, FL 34953-2757
- **Practice address phone:** (772) 873-0037
- **Mailing address:** 474 SW HOMELAND RD, PORT SAINT LUCIE, FL 34953-6278
- **Mailing address phone:** (772) 873-0037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3336 | FL | Yes |
| 152WP0200X | Pediatric Optometrist | OPC 3336 | FL | — |
| 152WS0006X | Sports Vision Optometrist | OPC 3336 | FL | — |
| 152WV0400X | Vision Therapy Optometrist | OPC 3336 | FL | — |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 10/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620970000 | — | FL |
