Organization
ST LUCIE WEST OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LINDSEY (OFFICE MANAGER)
(772) 461-5660
Entity
Organization
Contact information
Practice address
1302 SW ST LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2109
(772) 340-2929
(772) 878-8399
Mailing address
1302 SW ST LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2109
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D04035
FL
Other
Enumeration date
08/16/2006
Last updated
09/21/2010
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