Envision Eyecare & Optique
Optometrist in Port St Lucie, FL. Organization (NPI-2).
NPI number1295970036
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1295970036
- Entity type
- Organization (NPI-2)
- Legal business name
- Envision Eyecare & Optique
- Organization subpart
- No
- Enumeration date
- Dec 9, 2008
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC3619 | FL | Yes |
Practice location
986 Sw Saint Lucie West BlvdPort St Lucie, FL 34986-1766
Phone 772-621-8777
Mailing address
986 Sw Saint Lucie West BlvdPort St Lucie, FL 34986-1766
Phone 772-621-8777
Authorized official
Brandi Marie Frey
Optometrist/President
7726218777
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All 29 Optometrist providers in Port St Lucie · All 3,747 providers in Port St Lucie
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