Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC JAY GANNON OPTOMETRIST PA
Active OrganizationMARC JAY GANNON OPTOMETRIST PA is a Low Vision Rehabilitation Optometrist organization located in FORT LAUDERDALE, Florida. NPI 1194974782 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1194974782
- Provider Type
- Organization
- NPI Issued
- Sep 18, 2008 (17.937667909024 yrs)
- Last Updated
- Aug 4, 2009
- License
-
OPC1271 (FL)
Practice Information
- Address
-
2021 E COMMERCIAL BLVD301FORT LAUDERDALE, FL, 333083763Browse FL providers · Browse ZIP 33308
- Phone
- 9547765223
- Fax
- 9544910027
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.