Individual
PETER JOHN STAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 810-5687
Mailing address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 810-5687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006933
OH
Other
Enumeration date
04/27/2021
Last updated
09/12/2025
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