Organization Active NPI

Mindful Eye Healthcare LLC

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1396456745
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MINDFUL EYE HEALTHCARE LLC
Practice address
1080 SW Fenway Rd
Port St Lucie, FL 34953-2303
Phone
(561) 313-2807
Fax
(561) 898-1713
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Susan Lynch Philcox, APRN, FNP, PMHNPNPI 1215181961
Title
Owner
Phone
(561) 313-2807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1080 SW Fenway Rd
Port St Lucie, FL 34953-2303

Mailing address

1080 SW Fenway Rd
Port St Lucie, FL 34953-2303
Phone (561) 313-2807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1396456745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SW FENWAY RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532303",
            "telephone_number": "561-313-2807",
            "fax_number": "561-898-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SW FENWAY RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532303",
            "telephone_number": "561-313-2807",
            "fax_number": "561-898-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EYE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "PHILCOX",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-313-2807",
        "authorized_official_credential": "APRN, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.