DR STEPHANIE L JOHNSON, PA
Optometry at Normandy Blvd, Jacksonville, FL

License number
Florida OPC2964
Category
Optometry
Type
Optometrist
Owner
Name: DR. STEPHANIE EASON OD
Title: OPTOMETRIST
Phone: (904) 237-7997
Address
Address
7749 Normandy Blvd STE 121, Jacksonville, FL 32221
National Provider ID: 1740619824
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. STEPHANIE L. JOHNSON, PA

Jacksonville, FL

Registration:
Jul 16, 1999
Addresses:
7749-121 Normandy Blvd, Jacksonville, FL 32221 (Physical)
7749 Normandy Blvd, Jacksonville, FL 32221
7764 Normandy Blvd, Jacksonville, FL 32221
State ID:
P99000065416
Business type:
Florida Profit Corporation
Director:
Stephanie L Johnson (Director), 7749-121 Normandy Blvd, Jacksonville, FL 32221 (Physical)
Agent:
Stephanie Johnson,7749-121 Normandy Blvd, Jacksonville, FL 32221 (Physical)
EIN:
65-0974778

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