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PHILIP DESANTIS O.D.
NPI 1386771749
Optometrist in Port Saint Lucie, FL

Active since February 27, 2007PECOS Enrolled
1850 SW GATLIN BLVD, WALMART OPTICAL, PORT SAINT LUCIE, FL 34953(772) 343-0003(772) 336-9017 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Desantis O.d. NPPES

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

PHILIP DESANTIS O.D. (NPI 1386771749) is an individual optometrist in Port Saint Lucie, Florida, licensed in Florida (OPC 2169) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386771749
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILIP DESANTISCredential: O.D.
Location Address1850 SW GATLIN BLVD, WALMART OPTICALPort Saint Lucie, FL 34953-2703
Mailing Address1850 Sw Gatlin Blvd, Walmart OpticalPort Saint Lucie, FL 34953-2703 · (772) 343-0003 · Fax (772) 336-9017
Phone(772) 343-0003
Fax(772) 336-9017
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateDecember 7, 2010
✔ NPI 1386771749 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 · OPC 2169
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.
1850 SW GATLIN BLVD, Port Saint Lucie, FL 34953
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Other Identifiers 2

Medicare ID-Type Unspecified19821AFL
Medicare UPINU11422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Desantis O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DESANTIS OD
Optometrist
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 336-9281
ZULEIKA ALVARADO MARRERO PHARMD
Pharmacist
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 336-8212
GATLIN VISION LLC
Optometrist
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 343-0003
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 336-8268
AMITA PATEL
Pharmacist
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 336-8268

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 Philip Desantis's NPI number?

The NPI number for Philip Desantis is 1386771749. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Philip Desantis located?

Philip Desantis practices at 1850 SW Gatlin Blvd Walmart Optical, Port Saint Lucie, FL 34953. The listed phone number is (772) 343-0003.

What is Philip Desantis's specialty?

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

Is Philip Desantis enrolled in Medicare?

Yes. Philip Desantis is registered in the Medicare PECOS enrollment system.

What insurance does Philip Desantis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Louisiana list Philip Desantis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Desantis was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.