IndividualActive
Amanda Kast, LDO, ABOC, NCLEC
NPI 1619711413 · Optician · Port Charlotte, FL
Provider details
- NPI number
- 1619711413
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO, ABOC, NCLEC
- Sex
- Female
- Sole proprietor
- No
- License
- DO7631 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
375 Kings Hwy
Port Charlotte, FL 33983-5222
Phone: (941) 625-5359
Fax: (941) 625-5420
Approximate (ZIP-level) locationGet directions
Mailing address
375 Kings Hwy
Port Charlotte, FL 33983-5222
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.