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ST GEORGE OD LLC
NPI 1174912794
Optometrist in Boynton Beach, FL

Active since January 20, 2015
5058 GREENWICH PRESERVE CT, BOYNTON BEACH, FL 33436(954) 624-5649 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St George Od Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST GEORGE OD LLC (NPI 1174912794) is a healthcare organization registered as an optometrist in Boynton Beach, Florida and active in the NPI registry since January 2015. The organization lists Reta Guirguis, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1174912794
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameST GEORGE OD LLC
Location Address5058 GREENWICH PRESERVE CTBoynton Beach, FL 33436-5802
Mailing Address5058 Greenwich Preserve CtBoynton Beach, FL 33436-5802 · (954) 624-5649
Phone(954) 624-5649
Organization SubpartNo
Authorized OfficialReta GuirguisOptometrist · (954) 624-5649
Enumeration DateJanuary 20, 2015
✔ NPI 1174912794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC4985
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5058 GREENWICH PRESERVE CT, Boynton Beach, FL 33436
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St George Od LLC's NPI number?

The NPI number for St George Od LLC is 1174912794. It was assigned to this organization in the NPPES registry on January 20, 2015.

Where is St George Od LLC located?

St George Od LLC is located at 5058 Greenwich Preserve Ct, Boynton Beach, FL 33436. The listed phone number is (954) 624-5649.

What is St George Od LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for St George Od LLC was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.