MEDICARE: DR. ARIELLA ERIN CUENCA POON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6491	FL

General Provider Information

NPI Number	:	1265272348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIELLA ERIN CUENCA POON OD

Provider Business Mailing Address
First Line	:	8343 CANDLEWOOD COVE TRL
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-8901
Country	:	US
Telephone Number	:	904-712-5226
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 EVEREST LN STE 5
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-4090
Country	:	US
Telephone Number	:	904-713-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	03/10/2026

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