Active NPI
St Lucie Optical West, Inc
- Optician
- Port St Lucie, FL
National Provider Identifier
1497108674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- ST LUCIE OPTICAL WEST, INC
- Practice address
- 1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511 - Phone
- (772) 335-3939
- NPI assigned
- Jul 22, 2016
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511
Mailing address
2201 S 10TH St
Fort Pierce, FL 34950-5382
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469145600000",
"number": "1497108674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S 10TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527511",
"telephone_number": "772-335-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUCIE OPTICAL WEST, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- 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 Inc
- St Lucie Surgical Associates PA
- St Lucie West Optical Inc
- Daton St Martin, PA
- Alexandria Dolores St Rose, ARNP
- St. Cloud Neurology, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.