Provider Demographics
NPI:1023531753
Name:VINCENT, LINDSEY (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:VINCENT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 FERN CREST DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-3198
Mailing Address - Country:US
Mailing Address - Phone:386-235-2033
Mailing Address - Fax:
Practice Address - Street 1:5680 WAYSIDE DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8625
Practice Address - Country:US
Practice Address - Phone:407-333-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5447152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist