St Lucie West Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D04035 Issued in FL

Legal business name

ST LUCIE WEST OPTICAL INC

Practice address

1302 SW St Lucie West Blvd
Port St Lucie, FL 34986-2109

Phone

(772) 340-2929

Fax

(772) 878-8399

NPI assigned

Aug 16, 2006

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

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1568575397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SW ST LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SW ST LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862109",
            "telephone_number": "772-340-2929",
            "fax_number": "772-878-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCIE WEST OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-09-21",
        "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": "FL",
            "license": "D04035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lucie Medical Center Walk-in Clinic LLC
• St Lucie Medical Specialists LLC
• St Lucie Optical Inc
• St Lucie Optical West, Inc
• St Lucie Surgical Associates PA
• Daton St Martin, PA
• Alexandria Dolores St Rose, ARNP
• St. Cloud Neurology, P.a.
• Diana Maria St. Fort, RN
• St. Lucie Anesthesia Associates, LLC

• 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 Sep 21, 2010; 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.