Individual
DR. JOHN MICHAEL CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8050 NAVARRE PKWY, NAVARRE, FL 32566
(850) 939-3459
(850) 497-6219
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1646
SC
152W00000X
Optometrist
Primary
OPC4657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006234400
—
FL
01
—
190FL
FLORIDA BLUE
FL
Enumeration date
07/05/2011
Last updated
08/03/2017
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