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Contact Information

JOHN A DZIADUL JR, OD
2900 VETERANS WAY
VIERA, FL32940-8007
 Phone: 321-637-3788
 Fax: 321-637-3509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOHN A DZIADUL JR · (Male)

NPI Number 1508807595
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/09/2006
Last updated 04/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OPC 2258
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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