MEDICARE: ST LUCIE WEST OPTICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	D04035	FL

General Provider Information

NPI Number	:	1568575397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST LUCIE WEST OPTICAL INC

Provider Business Mailing Address
First Line	:	1302 SW ST LUCIE WEST BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 SW ST LUCIE WEST BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2109
Country	:	US
Telephone Number	:	772-340-2929
Fax Number	:	772-878-8399

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KATHY LINDSEY
Credential	:
Telephone Number	:	772-461-5660

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	09/21/2010

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1033115399 — TERESE BARR NP
Practice Location Address:

1300 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL
34986-2109

Practice Phone: 772-878-7078
Practice Fax: 866-389-2727

1104156215 — MS. SUSAN CAROL COHEN RN, FNP-BC, PMHNP-BC
Practice Location Address:

1300 SW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL
34986-2109

Practice Phone: 866-389-2727
Practice Fax:

Directions to “ST LUCIE WEST OPTICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.