ST JOHNS EYE CARE P A
NPI 1912053547
Optometrist in Palatka, FL

Q: What is St Johns Eye Care P A's NPI number?

The NPI number for St Johns Eye Care P A is 1912053547. It was assigned to this organization in the NPPES registry on January 26, 2007.

Q: What is St Johns Eye Care P A's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 26, 2007

2504 CRILL AVE, PALATKA, FL 32177(386) 328-5141(386) 328-3972 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jun 27, 2024, Sep 10, 2018 (3 updates tracked since 2018).

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About St Johns Eye Care P A NPPES

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

ST JOHNS EYE CARE P A (NPI 1912053547) is a healthcare organization registered as an optometrist in Palatka, Florida and active in the NPI registry since January 2007. The organization lists John M Lennon, President, as its authorized official.

NPPES Registry Identity

NPI1912053547

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameST JOHNS EYE CARE P A

Location Address2504 CRILL AVEPalatka, FL 32177-4264

Mailing Address2504 Crill AvePalatka, FL 32177-4264 · (386) 328-5141 · Fax (386) 328-3972

Phone(386) 328-5141

Fax(386) 328-3972

Organization SubpartNo

Authorized OfficialJohn M LennonPresident · (386) 328-5141

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1912053547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · 20061021

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2504 CRILL AVE, Palatka, FL 32177

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Other Identifiers 1

Medicaid122939400FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Johns Eye Care P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Johns Eye Care P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Lennon, OD

Optometry

NPI 1104800697

2504 CRILL AVE
Palatka, FL 32177

(386) 328-5141

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St Johns Eye Care P A's NPI number?

The NPI number for St Johns Eye Care P A is 1912053547. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is St Johns Eye Care P A located?

St Johns Eye Care P A is located at 2504 Crill Ave, Palatka, FL 32177. The listed phone number is (386) 328-5141.

What is St Johns Eye Care P A's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is St Johns Eye Care P A enrolled in Medicare?

Yes. St Johns Eye Care P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Johns Eye Care P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to St Johns Eye Care P A. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Johns Eye Care P A 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 7 other insurers list St Johns Eye Care P A 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 St Johns Eye Care P A was last updated on July 9, 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.