Organization
SPACECOASTPOP LLC
Active
Parent organization
SPACECOASTPOP LLC
Other names
Liberty Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPACECOASTPOP LLC
Authorized official
ERICK ROSS LICENSED OPTICIAN (PRESIDENT)
(321) 243-5255
Entity
Organization
Contact information
Practice address
601 E STRAWBRIDGE AVE, MELBOURNE, FL 32901-4733
(321) 301-0411
Mailing address
331 MELBOURNE AVE, INDIALANTIC, FL 32903-4315
(321) 243-5255
(321) 243-5255
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us