Mindful Eye Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINDFUL EYE HEALTHCARE

Doing business as

Mindful Eye Healthcare

Practice address

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

Phone

(561) 313-2807

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Susan Lynch Philcox

Title

Owner

Phone

(561) 313-2807

Specialties & licenses 2

Addresses

Other names 1

• Mindful Eye Healthcare Doing business as

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1619718160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SW FENWAY RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532303",
            "telephone_number": "561-313-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SW FENWAY RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532303",
            "telephone_number": "561-313-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EYE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "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"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Eye Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Eye Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest Earl Middleton, PH.D., LPC
• Kelsey Mikluscak, PT, DPT
• Suzanne M Milano, LCSW
• Dan Asher Miller, ARNP
• Mind Joy Psychiatry LLC
• Suzanne E Mininger, CRNA
• Tiffany Gail Minnis, NP-C
• Elad Mirman, DMD
• Parsa Seyed Mirmehdi, MD
• Marissa Miscavage

• Family Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.