| Organization Name: | ST.JOHN EYE CARE |
| NPI Number: | 1164708830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG FRIEDENBERG (OPTOMETRIST) |
| Mailing Address: | 6500 Redhook Plaza Ste 225 Charlotte Amalie |
| State: | VIRGIN ISLAND UM |
| Postal Code: | 00801 |
| Phone Number: | 3407792019 |
| Fax Number: | 3407792020 |
| NPI Enumeration Date: | 10/26/2011 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 10416786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |