NPI 1962075358

William a Olivos OD PA

Organisation Optometrist Port Saint Lucie, FL

Practice location

Address: 2710 SW Port St Lucie Blvd, Port Saint Lucie, FL 34953-2849
Phone: (772) 460-8487
Fax: (772) 460-0225

Authorised official

Name: William a Olivos
Title: Owner
Phone: (772) 460-8487

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Florida →

Registry record

NPI: 1962075358
Entity type: Organization
NPI issued: 22 Jul 2021
Record last updated: 23 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.