OrganizationActive
Optical Outlet Inc IV
NPI 1104046267 · Optician · Port St Lucie, FL
Provider details
- NPI number
- 1104046267
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lorraine Arteaga, Licensed Optician Owner(772) 878-1414
- License
- DO3422 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
319 Se Port St Lucie Blvd
Port St Lucie, FL 34984
Phone: (772) 878-1414
Fax: (772) 878-0118
Street-level locationGet directions
Mailing address
319 Se Port St Lucie Blvd
Port St Lucie, FL 34984
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.