| NPI | 1093260903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON JOSEPH Doctor Of O PT Ometry 954-895-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5208) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |