Shannon, Erin S

Shannon, Erin S is an individual health care provider with primary practice located at 3345 S Congress Ave , Lake Worth FL 33461-3020. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shannon, Erin S can be contacted via phone (561) 964-0220.

Contact Information

Primary practice address
3345 S Congress Ave Lake Worth FL 33461-3020
Phone: (561) 964-0220
Fax: (561) 964-6680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3398 Florida

Profile Details

NPI number 1134262983
LBN Legal business name Shannon, Erin S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134262983 NPPES
Florida Other OPC 3398 LICENSE NUMBER

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