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Organization
ST JOHNS EYE CARE P A
Active
Organization
ST JOHNS EYE CARE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M LENNON O.D (PRESIDENT)
(386) 328-5141
Entity
Organization
Contact information
Practice address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-3972
Mailing address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-3972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
20061021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122939400
—
FL
Enumeration date
01/26/2007
Last updated
07/09/2024
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