Shannon L Clark O D P A

  • 1770767733 NPI Number
  • |
  • Actived: 16 years ago
  • |
Shannon L Clark O D P A is a health care provider based in Fort Pierce, FL. The NPI Number is 1770767733 and it has been active since 16 years ago. The specialty is Eyewear Supplier, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Eyewear Supplier services, Shannon L Clark O D P A is an excellent option. We are here to help you get the care you need.

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Overview of Shannon L Clark O D P A

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/26/2007
  • Last updated: 07/29/2008

Primary Scrop of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number: OPC 0003067
  • License State: FL

Provider Mailing Address

  • Address: 2305 Oleander Blvd
    Fort Pierce, FL 34982
  • Phone: 772-465-6616
  • Fax:

Provider Practice Location

  • Address: 2305 Oleander Blvd
    Fort Pierce, FL 34982
  • Phone: 772-465-6616
  • Fax:

Authorized Official

  • Name: DR. Shannon L W Clark Leitenbauer O.D.
  • Position/Title: President/owner
  • Telephone Number: 772-465-6616

Scope of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number: OPC 000306
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shannon L Clark O D P A?
  • A: The npi number for Shannon L Clark O D P A is 1770767733.
  • Q: What are Shannon L Clark O D P A's specialties?
  • A: Shannon L Clark O D P A's specialties are Eyewear Supplier and different specialities.
  • Q: Where is Shannon L Clark O D P A business practice location?
  • A: Shannon L Clark O D P A business practice location is 2305 Oleander Blvd, Fort Pierce, FL 34982.
  • Q: How to contact Shannon L Clark O D P A?
  • A: You can contact Shannon L Clark O D P A via 772-465-6616.
  • Q: What is the authorized official for Shannon L Clark O D P A?
  • A: The authorized office name is DR. Shannon L W Clark Leitenbauer O.D. with position/title is President/owner and you can reach the authorized official via phone number 7724656616.
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