Individual
MR. JOHN B WACHTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9375 66TH STREET NORTH, EYE ASSOCIATES OF PINELLAS, PINELLAS PARK, FL 33782
(727) 541-4469
(727) 546-9661
Mailing address
9375 66TH STREET NORTH, PINELLAS PARK, FL 33782
(727) 541-4469
(727) 546-9661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62043900
—
FL
Enumeration date
03/10/2006
Last updated
01/14/2010
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