MEDICARE: MYEYEDR. OPTOMETRY OF FLORIDA, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992175558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR. OPTOMETRY OF FLORIDA, LLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	450 STATE ROAD 13
Second Line	:	107
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-3860
Country	:	US
Telephone Number	:	904-287-3678
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE DOWNES
Credential	:
Telephone Number	:	703-847-8899

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	05/25/2022

Similar Medicare Providers

1831166966 — LISA M WIEDEL MD
Practice Location Address:

450 STATE ROAD 13 , STE 106-128
SAINT JOHNS, FL
32259-3860

Practice Phone: 904-616-8410
Practice Fax:

1568540870 — DR. HARRY DAVID WEINSTEIN OD
Practice Location Address:

450 STATE ROAD 13
SAINT JOHNS, FL
32259-3860

Practice Phone: 904-287-3678
Practice Fax:

1073818241 — AKEL MANAGEMENT LLC
Practice Location Address:

450 STATE ROAD 13 , SUITE 107
SAINT JOHNS, FL
32259-3860

Practice Phone: 904-287-3678
Practice Fax: 904-287-3386

1801133749 — MR. JAMES P ROSS RPH
Practice Location Address:

450 STATE ROAD 13
SAINT JOHNS, FL
32259-3860

Practice Phone: 904-230-3207
Practice Fax:

1366789299 — MRS. MARY ELIZABETH POLLICK RPH
Practice Location Address:

450 STATE ROAD 13
SAINT JOHNS, FL
32259-3860

Practice Phone: 904-230-3207
Practice Fax: 904-230-3211

1366095564 — DANA M HATWIG APRN
Practice Location Address:

450 STATE ROAD 13 STE 106-493
ST JOHNS, FL
32259-3860

Practice Phone: 904-517-8900
Practice Fax:

Directions to “MYEYEDR. OPTOMETRY OF FLORIDA, LLC ” 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.