William A Olivos Od PA

Optometrist in Port Saint Lucie, FL. Organization (NPI-2).

NPI number1962075358

StatusActive

Last updated in NPPESJul 23, 2021

Details

NPI: 1962075358
Entity type: Organization (NPI-2)
Legal business name: William A Olivos Od PA
Organization subpart: No
Enumeration date: Jul 22, 2021
Certification date: Jul 23, 2021
Last updated: Jul 23, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Other names

Advanced Eye Care Center (Doing Business As)

Practice location

2710 Sw Port St Lucie Blvd
Port Saint Lucie, FL 34953-2849

Phone 772-460-8487 · Fax 772-460-0225

Mailing address

2710 Sw Port St Lucie Blvd
Port Saint Lucie, FL 34953-2849

Phone 772-460-8487 · Fax 772-460-0225

Authorized official

William A Olivos
Owner
7724608487

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Port Saint Lucie, FL

All 12 Optometrist providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check