St Johns Eye Care P A in Palatka - Optometrist
St Johns Eye Care P A - NPI 1912053547
St Johns Eye Care P A is a Optometrist in Palatka, Florida. St Johns Eye Care P A practices all healthcare services and medical treatments related to Optometrist. The NPI Number for St Johns Eye Care P A is 1912053547. The last update date is 2018-09-10.
St Johns Eye Care P A's current location address is 2504 Crill Ave, Palatka, Florida. You can contact this provider via phone number 3863285141 and fax number 3863283972. The mailing address for St Johns Eye Care P A is 2504 Crill Ave, Palatka, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Johns Eye Care P A |
|---|---|
| Address | 2504 Crill Ave, Palatka, Florida |
| Phone Number | 3863285141 |
| Fax Number | 3863283972 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deputy R Gerald |
| Credentials | O.D |
| Telephone Number | 3863285141 |
NPI Number Detail
| NPI Number | 1912053547 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2018-09-10 |
Provider Mailing Address Detail
| Address | 2504 Crill Ave |
|---|---|
| City | Palatka |
| State | Florida (FL) |
| Post Code | 321774264 |
| Phone Number | 3863285141 |
| Fax Number | 3863283972 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 20061021 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 620005200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St Johns Eye Care P A by the Centers for Medicare & Medicaid Services?
The St Johns Eye Care P A has been issued the NPI (National Provider Identifier) 1912053547, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the St Johns Eye Care P A's physical address?
The St Johns Eye Care P A is physically located at 2504 Crill Ave, in the city of Palatka, FL, with the postal code 321774264.
What is St Johns Eye Care P A's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The St Johns Eye Care P A's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did St Johns Eye Care P A receive its 1912053547 assignment from the Centers for Medicare & Medicaid Services?
The St Johns Eye Care P A was assigned its 1912053547 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to St Johns Eye Care P A, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to St Johns Eye Care P A, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-09-10.