Organization
L.C. ERBE O.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE C ERBE OD (OWNER)
(772) 873-0037
Entity
Organization
Contact information
Practice address
1721 SW GATLIN BLVD, PORT SAINT LUCIE, FL 34953-2757
(772) 873-0037
Mailing address
474 SW HOMELAND RD, PORT SAINT LUCIE, FL 34953-6278
(772) 873-0037
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3336
FL
152WP0200X
Pediatric Optometrist
OPC 3336
FL
152WS0006X
Sports Vision Optometrist
OPC 3336
FL
152WV0400X
Vision Therapy Optometrist
OPC 3336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620970000
—
FL
Enumeration date
10/01/2015
Last updated
10/01/2015
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