John C. Derickson Od, PA
NPI #1356686976 in Jacksonville, Florida
Provider Information
- NPI Number
- 1356686976
- Entity Type
- Organization
- Organization Name
- John C. Derickson Od, PA
- Primary Specialty
- Optometrist - Corneal and Contact Management
- Enumeration Date
- Dec 7, 2012
- Last Updated
- Dec 7, 2012
Practice Location
- Address
- 8771 PERIMETER PARK CT
- Address 2
- SUITE 101
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-6396
- Phone
- (904) 997-8585
Authorized Official
- Name
- DR. JOHN CHRISTIAN DERICKSON, O.D.
- Title
- OWNER
- Phone
- (904) 997-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
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