St Lucie Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO0002584 Issued in FL

Legal business name

ST LUCIE OPTICAL INC

Practice address

1700 SE Hillmoor Dr
Suite 100
Port St Lucie, FL 34952-7544

Phone

(772) 878-6242

Fax

(772) 878-7111

NPI assigned

Aug 16, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Lindsey

Title

Office Manager

Phone

(772) 461-5660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher T Channon, MD

  • Ophthalmology Physician
  • Fort Pierce, FL
  • NPI 1730193285
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1477666204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "SUITE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527544",
            "telephone_number": "772-878-6242",
            "fax_number": "772-878-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "SUITE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527544",
            "telephone_number": "772-878-6242",
            "fax_number": "772-878-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCIE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-461-5660"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO0002584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lucie County School Board
• St Lucie General Surgery LLC
• St Lucie Hospitalists LLC
• St Lucie Medical Center Walk-in Clinic LLC
• St Lucie Medical Specialists LLC (Heart and Family Health Institute of Port St. Lucie)
• St Lucie Optical West, Inc
• St Lucie Surgical Associates PA
• St Lucie West Optical Inc
• Daton St Martin, PA
• Alexandria Dolores St Rose, ARNP

• Optician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.