Individual
JOHNNY ADRIAN PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4954 HIGHWAY 90, PACE, FL 32571-1413
(850) 910-4840
(850) 254-2970
Mailing address
4954 HIGHWAY 90, PACE, FL 32571-1413
(850) 910-4840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
35035
CA
152W00000X
Optometrist
Primary
OPC6077
FL
152W00000X
Optometrist
T-250-TA-C15
AL
Other
Enumeration date
05/11/2021
Last updated
07/12/2025
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