St Johns Eye Associates at Nocatee

NPI #1629326343 in Ponte Vedra, Florida

Provider Information

NPI Number: 1629326343
Entity Type: Organization
Organization Name: St Johns Eye Associates at Nocatee
Primary Specialty: Optometrist
Enumeration Date: Aug 28, 2012
Last Updated: Aug 19, 2022

Practice Location

Address: 200 NOCATEE VILLAGE DRIVE
City: Ponte Vedra
State: Florida
ZIP Code: 32081
Phone: (904) 825-4525

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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