Organization
JOHN S. GEDDES III OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S GEDDES III O.D. (PRESIDENT)
(352) 360-0306
Entity
Organization
Contact information
Practice address
10250 SE 167TH PLACE RD, SUITE 4, SUMMERFIELD, FL 34491-8686
(352) 693-2545
(352) 693-2449
Mailing address
1508 TEXAS CT, TAVARES, FL 32778-2130
(352) 360-0306
(352) 693-2449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002966600
—
FL
Enumeration date
12/24/2008
Last updated
12/04/2014
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