William a Olivos Od PA

NPI #1962075358 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1962075358
Entity Type: Organization
Organization Name: William a Olivos Od PA
Primary Specialty: Optometrist
Enumeration Date: Jul 22, 2021
Last Updated: Jul 23, 2021

Practice Location

Address: 2710 SW PORT ST LUCIE BLVD
City: Port Saint Lucie
State: Florida
ZIP Code: 34953-2849
Phone: (772) 460-8487

Authorized Official

Name: DR. WILLIAM A OLIVOS, OD
Title: OWNER
Phone: (772) 460-8487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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