Peter John Stan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006933 Issued in OH

Practice address

1400 US Highway 1 S
St Augustine, FL 32084-4211

Phone

(904) 829-2286

Fax

(904) 810-5687

NPI assigned

Apr 27, 2021

Last updated

Jun 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Eye Center of St Augustine PAGroup PAC ID 2668431040, 6 clinicians

Family First Vision Care PLLCGroup PAC ID 9638425960, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.4 of 100Reported as group

Quality

89.52

Improvement activities

40

Cost

55.31

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pstan@especsa.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Center of St Augustine PA

  • Specialist
  • St Augustine, FL
  • NPI 1275535726
  Medicare reassignment Care Compare group NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment Care Compare group NPD
• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1114779030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1710569819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-810-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-810-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 W Town Pl Ste 8",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923102",
            "country_code": "US",
            "telephone_number": "904-940-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Florida Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373893",
            "country_code": "US",
            "telephone_number": "386-445-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Zeagler Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773827",
            "country_code": "US",
            "telephone_number": "386-328-8369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAN",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Johns Family Dentistry
• St. Johns Podiatry & Wound Care Specialists LLC
• St. Johns Wellness Center, LLC
• Sta Birth Collective
• Analee Stallings, AUD
• Robert William Stanborough, PT
• Elena Stanescu, MD
• Stefan L Stanescu, MD
• Stanley a Cohen DO PA
• Byron Layne Stapleton, DO

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.