St Johns Eye Associates PA

NPI #1518699065 in St Augustine, Florida

Provider Information

NPI Number: 1518699065
Entity Type: Organization
Organization Name: St Johns Eye Associates PA
Primary Specialty: Optometrist
Enumeration Date: Jun 24, 2022
Last Updated: Jun 24, 2022

Practice Location

Address: 150 VILLAGE COMMONS DR STE A-102
City: St Augustine
State: Florida
ZIP Code: 32092-4545
Phone: (904) 287-9137

Authorized Official

Name: DONNA MARIE BACKS
Title: CREDENTIALING MANAGER
Phone: (805) 433-2901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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