OrganizationActive
St George OD LLC
NPI 1174912794 · Optometrist · Boynton Beach, FL
Provider details
- NPI number
- 1174912794
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Reta Guirguis, Optometrist(954) 624-5649
- License
- OPC4985 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
5058 Greenwich Preserve Ct
Boynton Beach, FL 33436-5802
Phone: (954) 624-5649
Street-level locationGet directions
Mailing address
5058 Greenwich Preserve Ct
Boynton Beach, FL 33436-5802
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2015-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.