NPIMap

Organization Active NPI

Florida Vision Optique Inc

  • Optometrist
  • Stuart, FL
National Provider Identifier
1023018355
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2170 Issued in FL
Legal business name
FLORIDA VISION OPTIQUE INC
Practice address
1050 SE Monterey Rd Ste 202
Stuart, FL 34994
Phone
(772) 283-5020
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Luchs
Title
President
Phone
(772) 283-5020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2170 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1050 SE Monterey Rd Ste 202
Stuart, FL 34994

Mailing address

PO Box 947665
Atlanta, GA 30394-7665
Phone (772) 283-5020

Other practice location 1

11530 SW Village Pkwy #103
Port St Lucie, FL 34987
Phone (772) 345-1500

Other practice location 2

10050 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2117
Phone (772) 345-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930018416 FL DME Supplier - Physician - OptometristDME Supplier - Optician 4183839277 Practice locations: Stuart, FL
O20110407000460 FL Part B Supplier - Clinic/Group Practice 4183839277 Receives reassigned benefits from 4 practitioners
Practice locations: Port St Lucie, FL; Stuart, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Florida Vision Optique Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11530 SW VLG Pkwy 103
103
Port St Lucie, FL 34987
Phone (772) 345-1500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1023018355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947665",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947665",
            "telephone_number": "772-283-5020",
            "fax_number": "772-223-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-283-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11530 SW Village Pkwy #103",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "34987",
            "country_code": "US",
            "telephone_number": "772-345-1500",
            "fax_number": "772-345-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 SW Innovation Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872117",
            "country_code": "US",
            "telephone_number": "772-345-5050",
            "fax_number": "772-223-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA VISION OPTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "LUCHS",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-283-5020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2170",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.