MEDICARE: VERNON A. STAPLETON, O.D.,P.A.

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		FL

General Provider Information

NPI Number	:	1265464093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERNON A. STAPLETON, O.D.,P.A.

Provider Business Mailing Address
First Line	:	PO BOX 91630
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33804-1630
Country	:	US
Telephone Number	:	863-660-3287
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 NR 98
Second Line	:	#500
City	:	LAKELAND
State	:	FL
Zip	:	33809
Country	:	US
Telephone Number	:	863-660-3287
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. VERNON ANTHONY STAPLETON
Credential	:	O.D.
Telephone Number	:	863-660-3287

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	08/22/2020

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