Robert H Fier Mdpa | |
514 Sw Prima Vista Blvd, Port St Lucie, FL 34983-8734 | |
(772) 878-3437 | |
(772) 878-1298 |
Full Name | Robert H Fier Mdpa |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 514 Sw Prima Vista 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 |
---|---|---|---|
1619016607 | NPI | - | NPPES |
471650 | Other | FL | COVENTRY HEALTH CARE |
CC9114 | Other | FL | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | POC 3339 (Florida) | Secondary |
174400000X | Specialist | ME30598 (Florida) | Primary |
Provider Name | Kevin T Kelly |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750323747 PECOS PAC ID: 4981699709 Enrollment ID: I20040419001795 |
Provider Name | Christopher A Frey |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013960483 PECOS PAC ID: 9436125507 Enrollment ID: I20040909000599 |
Provider Name | Richard E Seith |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396711511 PECOS PAC ID: 4183687254 Enrollment ID: I20070612000486 |
Provider Name | Carrie Ann Palmer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144484106 PECOS PAC ID: 7113094459 Enrollment ID: I20100302000272 |
Mailing Address | Practice Location Address |
---|---|
Robert H Fier Mdpa 514 Sw Prima Vista Blvd, Port St Lucie, FL 34983-8734 Ph: (772) 878-3437 | Robert H Fier Mdpa 514 Sw Prima Vista Blvd, Port St Lucie, FL 34983-8734 Ph: (772) 878-3437 |