# TREASURE COAST OPTICIANS

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

## Provider details

- **NPI number:** 1568630200
- **Authorized official:** LARA AMYX (OWNER)
- **Authorized official phone:** (772) 569-4822

## Contact information

- **Practice address:** 715 17TH ST, VERO BEACH, FL 32960-6219
- **Practice address phone:** (772) 569-4822
- **Practice address fax:** (772) 569-4052
- **Mailing address:** 715 17TH ST, VERO BEACH, FL 32960-6219
- **Mailing address phone:** (772) 569-4822
- **Mailing address fax:** (772) 569-4052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1998 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 02/15/2008