| Gatlin Vision Llc | |
|
1850 Sw Gatlin Blvd, Port St Lucie, FL 34953-2703 | |
| (772) 343-0003 | |
| Not Available |
| Full Name | Gatlin Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1850 Sw Gatlin Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235550120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC2169 (Florida) | Primary |
| Provider Name | Philip C Desantis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386771749 PECOS PAC ID: 8325342884 Enrollment ID: I20160204000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Gatlin Vision Llc 1850 Sw Gatlin Blvd, Port St Lucie, FL 34953-2703 Ph: (772) 343-0003 | Gatlin Vision Llc 1850 Sw Gatlin Blvd, Port St Lucie, FL 34953-2703 Ph: (772) 343-0003 |
Dr. Christopher A Frey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Sw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-878-3437 Fax: 772-878-1298 | |
Paul Desantis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Gatlin Blvd, Port St Lucie, FL 34953 Phone: 772-336-9281 | |
Daniel M Durante Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 954 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986 Phone: 772-323-0960 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10524 Sw Village Pkwy, Port St Lucie, FL 34987 Phone: 772-301-6831 | |
Dr. Charlton Butts, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2710 Sw Port St Lucie Blvd, Port St Lucie, FL 34953 Phone: 772-460-8487 | |
We Care Eyecare Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10900 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-335-3884 Fax: 772-335-3789 |