St Johns Eye Care P A | |
2504 Crill Ave, Palatka, FL 32177-4264 | |
(386) 328-5141 | |
(386) 328-3972 |
Full Name | St Johns Eye Care P A |
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Type | Facility |
Speciality | Optometrist |
Location | 2504 Crill Ave, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912053547 | NPI | - | NPPES |
122939400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 20061021 (Florida) | Primary |
Provider Name | John M Lennon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104800697 PECOS PAC ID: 1254445836 Enrollment ID: I20101227000176 |
Mailing Address | Practice Location Address |
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St Johns Eye Care P A 2504 Crill Ave, Palatka, FL 32177-4264 Ph: (386) 328-5141 | St Johns Eye Care P A 2504 Crill Ave, Palatka, FL 32177-4264 Ph: (386) 328-5141 |
Dr. John M Lennon Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2504 Crill Ave, Palatka, FL 32177 Phone: 386-328-5141 Fax: 386-328-5141 | |
Dr. Gerald R Deputy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2504 Crill Ave, Palatka, FL 32177 Phone: 386-328-5141 Fax: 386-328-3972 | |
Gregory Kipp O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3710 Saint Johns Ave, Palatka, FL 32177 Phone: 386-328-1562 | |
Gregory L. Kane Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 S Palm Ave, Palatka, FL 32177 Phone: 386-328-8387 Fax: 386-325-0644 | |
Tri County Eye Associates Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3506 Saint Johns Ave, Palatka, FL 32177 Phone: 386-328-4456 Fax: 386-328-4530 |