Organization Active NPI

Gulfstream Eye PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Port Saint Lucie, FL
National Provider Identifier
1619423845
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
GULFSTREAM EYE PLLC
Practice address
260 NW Peacock Blvd Ste 101
Port Saint Lucie, FL 34986-2349
Phone
(772) 448-4865
Fax
(772) 448-4864
NPI assigned
Aug 28, 2016
Last updated
May 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Dr. William Rob Vickers, M.D.NPI 1639269798
Title
President
Phone
(941) 870-2120

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
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU Primary

Addresses

Primary practice location

260 NW Peacock Blvd Ste 101
Port Saint Lucie, FL 34986-2349

Mailing address

260 NW Peacock Blvd Ste 101
Port Saint Lucie, FL 34986-2349
Phone (772) 448-4865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103001472 FL Part B Supplier - Clinic/Group Practice 7214218379 Receives reassigned benefits from 1 practitioner
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

2100 Nebraska Ave
Ste 113
Fort Pierce, FL 34950
Phone (772) 460-0321

555 NW Lake Whitney Pl
Ste 105
Port St Lucie, FL 34986
Phone (772) 237-2080

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1619423845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NW PEACOCK BLVD STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862349",
            "telephone_number": "772-448-4865",
            "fax_number": "772-448-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NW PEACOCK BLVD STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862349",
            "telephone_number": "772-448-4865",
            "fax_number": "772-448-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSTREAM EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-870-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.