Individual
DR. JOHN S GEDDES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620130000
—
FL
Enumeration date
06/29/2006
Last updated
02/05/2020
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