Organization
ENVISION EYECARE & OPTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI MARIE FREY OD (OPTOMETRIST/PRESIDENT)
(772) 621-8777
Entity
Organization
Contact information
Practice address
986 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1766
(772) 621-8777
Mailing address
986 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1766
(772) 621-8777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3619
FL
Other
Enumeration date
12/09/2008
Last updated
10/03/2011
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