Organization
JOHN C. DERICKSON OD, PA
Active
Other names
Derickson Vision Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTIAN DERICKSON O.D. (OWNER)
(904) 997-8585
Entity
Organization
Contact information
Practice address
8771 PERIMETER PARK CT, SUITE 101, JACKSONVILLE, FL 32216-6396
(904) 997-8585
Mailing address
8771 PERIMETER PARK CT, SUITE 101, JACKSONVILLE, FL 32216-6396
(904) 997-8585
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC3107
FL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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