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Shannon L Clark O D P A
Eyewear Supplier in Fort Pierce, Florida
NPI 1770767733

Shannon L Clark O D P A is a Eyewear Supplier based in Fort Pierce, FL. Shannon L Clark O D P A practices in Fort Pierce, FL. The NPI Number for Shannon L Clark O D P A is 1770767733 and holds a License No. OPC 0003067 (Florida).

The current practice location address for Shannon L Clark O D P A is 2305 Oleander Blvd, Fort Pierce, FL and can be reached out via phone at 772-465-6616.

Location: 2305 Oleander Blvd, Fort Pierce, FL, 34982-5830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770767733
Provider Name
Shannon L Clark O D P A
Credential
Provider Entity Type
Organization
Address
2305 Oleander Blvd, Fort Pierce, FL, 34982-5830
Phone Number
772-465-6616
Fax Number
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2305 Oleander Blvd
City
Fort Pierce
State
Florida
Zip
34982-5830
Phone Number
772-465-6616
Fax Number
person
Provider Business Mailing Address Details
Address
2305 Oleander Blvd
City
Fort Pierce
State
Florida
Zip
34982-5830
Phone Number
772-465-6616
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
OPC 0003067 (Florida)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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