# JOHN J MERTZLUFFT OD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528036357
- **Authorized official:** DR. JOHN JOSEPH MERTZLUFFT OD (PRESIDENT DOCTOR)
- **Authorized official phone:** (813) 814-2020

## Contact information

- **Practice address:** 12037 WHITMARSH LN, TAMPA, FL 33626-1737
- **Practice address phone:** (813) 814-2020
- **Mailing address:** 12037 WHITMARSH LANE, TAMPA, FL 33626
- **Mailing address phone:** (813) 814-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 2610 | FL | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24794 | SPECTERA | FL |
| 01 | — | 56106 | DAVIS VISION | — |
| 05 | — | 620845200 | — | FL |
| 01 | — | 8138142020 | VSP | — |