# JOHN S. GEDDES III OD PA

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

## Provider details

- **NPI number:** 1548406473
- **Authorized official:** DR. JOHN S GEDDES III O.D. (PRESIDENT)
- **Authorized official phone:** (352) 360-0306

## Contact information

- **Practice address:** 10250 SE 167TH PLACE RD, SUITE 4, SUMMERFIELD, FL 34491-8686
- **Practice address phone:** (352) 693-2545
- **Practice address fax:** (352) 693-2449
- **Mailing address:** 1508 TEXAS CT, TAVARES, FL 32778-2130
- **Mailing address phone:** (352) 360-0306
- **Mailing address fax:** (352) 693-2449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2954 | FL | Yes |

## Other

- **Enumeration date:** 12/24/2008
- **Last updated:** 12/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002966600 | — | FL |