Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Judy L Deitrick, OPTICIAN

Individual provider Optician · NPI 1700933215

MS. Judy L Deitrick, OPTICIAN is an Optician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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Practice location Address checks out

2631 Dunn Ave
Jacksonville, FL 32218-4656
Phone: (904) 765-3611
Fax: (904) 765-4256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 2024 (FL)

Record details

NPI number1700933215
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESAugust 5, 2008

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