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DERICKSON VISION CONSULTANTS
NPI 1356686976
Optometrist - Corneal and Contact Management in Jacksonville, FL

Active since December 07, 2012
8771 PERIMETER PARK CT, SUITE 101, JACKSONVILLE, FL 32216(904) 997-8585 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derickson Vision Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERICKSON VISION CONSULTANTS (NPI 1356686976) is a healthcare organization registered as a corneal and contact management in Jacksonville, Florida and active in the NPI registry since December 2012. The organization lists John Christian Derickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356686976
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameJOHN C. DERICKSON OD, PA
Location Address8771 PERIMETER PARK CT, SUITE 101Jacksonville, FL 32216-6396
Mailing Address8771 Perimeter Park Ct, Suite 101Jacksonville, FL 32216-6396 · (904) 997-8585
Phone(904) 997-8585
Organization SubpartNo
Authorized OfficialJohn Christian DericksonOwner · (904) 997-8585
Enumeration DateDecember 7, 2012
✔ NPI 1356686976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in FL · OPC3107
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
8771 PERIMETER PARK CT, Jacksonville, FL 32216
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Other Names 1

Doing Business AsDerickson Vision Consultants

Other Identifiers 1

Medicare UPINE1327FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW SUTTON
Optometrist
8771 PERIMETER PARK CT, SUITE 101
JACKSONVILLE, FL 32216
Duval County (904) 997-8585

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 C. Derickson Od, PA's NPI number?

The NPI number for John C. Derickson Od, PA is 1356686976. It was assigned to this organization in the NPPES registry on December 7, 2012. The provider is doing business as Derickson Vision Consultants.

Where is John C. Derickson Od, PA located?

John C. Derickson Od, PA is located at 8771 Perimeter Park Ct Suite 101, Jacksonville, FL 32216. The listed phone number is (904) 997-8585.

What is John C. Derickson Od, PA's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for John C. Derickson Od, PA was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.