Organization
FLORIDA VISION OPTIQUE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (PRESIDENT)
(469) 214-0144
Entity
Organization
Contact information
Practice address
10050 SW INNOVATION WAY STE 101, PORT SAINT LUCIE, FL 34987-2117
(772) 345-5050
(772) 223-7159
Mailing address
1050 SE MONTEREY RD STE 104, STUART, FL 34994-4512
(772) 345-5050
(772) 223-7159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OPC2170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19275B
FLORIDA BLUE
—
Enumeration date
02/04/2014
Last updated
11/30/2022
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