Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter John Stan, OD

Individual provider Optometrist · NPI 1710569819

Peter John Stan, OD is an Optometry in St Augustine, Florida. Qualified in 2020, 6 years ago. Practices with Eye Center of St Augustine PA, a 6-clinician group and works from 4 locations. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1400 US Highway 1 S
St Augustine, FL 32084-4211
Phone: (904) 829-2286
Fax: (904) 810-5687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 800 Zeagler Dr Ste 120, Palatka, FL 32177-3827 — (386) 328-8369
  • 10 Florida Park Dr Ste A, Palm Coast, FL 32137-3893 — (386) 445-1279
  • 319 W Town Pl Ste 8, St Augustine, FL 32092-3102 — (904) 940-9200

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.006933 (OH)

Record details

NPI number1710569819
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address1400 Us Highway 1 S, St Augustine, FL 32084-4211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eye Center Of St Augustine Pa — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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