MEDICARE: DR. JOHN T ARDILL O.D.

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	2817TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85B845	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700883428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN T ARDILL O.D.

Provider Business Mailing Address
First Line	:	928 S BOLTON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-2906
Country	:	US
Telephone Number	:	903-586-7900
Fax Number	:	903-586-4373

Provider Business Practice Location Address
First Line	:	928 S BOLTON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-2906
Country	:	US
Telephone Number	:	903-586-7900
Fax Number	:	903-586-4373

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/20/2024

Similar Medicare Providers

1922416825 — JAYANNA D BYRD OD
Practice Location Address:

928 S BOLTON ST
JACKSONVILLE, TX
75766-2906

Practice Phone: 903-586-7900
Practice Fax: 903-586-4373

1023799681 — STACY PORTER LPC-S
Practice Location Address:

2906 AUGUSTA ST
JACKSONVILLE, TX
75766-9368

Practice Phone: 409-429-0924
Practice Fax:

1396308599 — ZAFRIA BAILEY
Practice Location Address:

3664 ROBENA RD
JACKSONVILLE, FL
32218-2906

Practice Phone: 904-419-3699
Practice Fax:

1124022918 — JILL K PONTIUS MD
Practice Location Address:

5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641

Practice Phone: 903-589-9000
Practice Fax: 903-586-9200

1497759237 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:

5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641

Practice Phone: 903-589-9000
Practice Fax: 903-586-9200

1821092677 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:

913 N JACKSON ST
JACKSONVILLE, TX
75766-3801

Practice Phone: 903-586-5507
Practice Fax: 903-586-4234

Directions to “ DR. JOHN T ARDILL O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.