| 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 |