MEDICARE: JOHN E STANLEY 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	OPC6839	FL

General Provider Information

NPI Number	:	1922050285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E STANLEY O.D.

Provider Business Mailing Address
First Line	:	PO BOX 919788
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-9788
Country	:	US
Telephone Number	:	888-856-1878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 BRANTLEY RD # 2A
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3923
Country	:	US
Telephone Number	:	239-481-7799
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/27/2026

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Directions to “ JOHN E STANLEY O.D.” Practice Location

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