# CHARLES SUIVSKI OD PA

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

## Provider details

- **NPI number:** 1598943508
- **Authorized official:** DANA SUIVSKI (ADMINISTRATIVE SUPERVISOR)
- **Authorized official phone:** (772) 286-9233

## Contact information

- **Practice address:** 2341 SE FEDERAL HWY, STUART, FL 34994-4528
- **Practice address phone:** (772) 283-4240
- **Practice address fax:** (772) 221-2422
- **Mailing address:** 2341 SE FEDERAL HWY, STUART, FL 34994-4528
- **Mailing address phone:** (772) 283-4240
- **Mailing address fax:** (772) 221-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2457 | FL | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20220 | BCBS PROVIDER I.D. | FL |