Organization Active NPI

St. Lucie Eye Associates, M.D. P.a.

  • Ophthalmology Physician
  • Port St Lucie, FL
National Provider Identifier
1841819166
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ST. LUCIE EYE ASSOCIATES, M.D. P.A.
Practice address
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511
Phone
(772) 461-2020
Fax
(772) 461-1081
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Satyesh Rana, M.D.NPI 1093123739
Title
Owner
Phone
(772) 461-2020

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 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
Phone (772) 461-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413002843 FL DME Supplier - Physician - Ophthalmology 3577549864 Practice locations: Port St Lucie, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2075990St Lucie Eye Associates1715 SE Tiffany Ave, Port Saint Lucie, FL 34952Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Lucie Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1321 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 343-0179

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1841819166",
    "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": "34950",
            "telephone_number": "772-461-2020",
            "fax_number": "772-461-1081"
        },
        {
            "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": "772-461-2020",
            "fax_number": "772-461-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUCIE EYE ASSOCIATES, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "SATYESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-461-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.