DR. JOHN M LENNON JR. OD
NPI 1104800697
Optometrist in Palatka, FL
About Dr. John M Lennon Jr. Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN M LENNON JR. OD (NPI 1104800697) is an individual optometrist in Palatka, Florida, licensed in Florida (OPC2448) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John M Lennon Jr. Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show John Lennon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palatka, FL 32177
- Reassigned Medicare billing, Florida enrollment
Jacksonville, FL 32211
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Lennon's NPI number?
The NPI number for John Lennon is 1104800697. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Dr. John M Lennon Od.
Where is John Lennon located?
John Lennon practices at 2504 Crill Ave, Palatka, FL 32177. The listed phone number is (386) 328-5141.
What is John Lennon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John Lennon enrolled in Medicare?
Yes. John Lennon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Lennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Lennon reassigns Medicare benefits to 2 organizations: St Johns Eye Care P A (Palatka, FL) and Duval Eye Associates PLLC (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Lennon accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 15 other insurers list John Lennon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Lennon was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John M Lennon Jr., OD · NPI 1104800697
Optometrist provider in Palatka, Florida. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1104800697 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC2448 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2504 CRILL AVE, Palatka, FL 32177-4264
- **Phone:** (386) 328-5141 · **Fax:** (386) 328-5141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Johns Eye Care P A (NPI 1912053547, Palatka, FL); Duval Eye Associates PLLC (NPI 1982298865, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 1989
## Record status
- **NPPES last updated:** July 8, 2024
- **Other identifiers:** Medicaid 078883000 (FL); Other 20313 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1104800697) · Data from the CMS NPPES public registry.