FLORIDA VISION OPTIQUE INC – Optometrist, NPI 1023018355
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FLORIDA VISION OPTIQUE INC
11530 SW Village Pkwy #103
Port St Lucie, FL 34987
Phone: (772) 345-1500
Fax: (772) 345-6938
Type: Location
10050 SW Innovation Way Ste 101
Port St Lucie, FL 349872117
Phone: (772) 345-5050
Fax: (772) 223-7159
Type: Location
PO BOX 947665
ATLANTA, GA 303947665
Phone: (772) 283-5020
Fax: (772) 223-7159
Type: Mailing
1050 SE Monterey Rd Ste 103
Stuart, FL 349944512
Phone: (772) 283-2020
Fax: (772) 220-9582
Type: Location
1050 SE MONTEREY RD STE 202
STUART, FL 349944512
Phone: (772) 283-5020
Fax: (772) 220-9582
Type: Mailing
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328865665
Phone: (772) 283-5020
Fax: (772) 220-9582
Type: Mailing
103, Southeast Monterey Road, Stuart, Martin County, Florida, 34994, United States
STUART, FL 349944512
Phone: (772) 283-2020
Fax: (772) 220-9582
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (115 days away).
Enrollment records
2
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930018416 | O | Physician - Optometrist | FL | 2026-09-30 |
| O20110407000460 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34987)
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