Organization · Type 2 NPI
Shannon L Clark O D P A
Eyewear Supplier · Fort Pierce, FL
NPI number
1770767733
Active
Practice location
2305 Oleander Blvd
Fort Pierce, FL 34982-5830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | OPC 0003067 (FL) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4 other providers at this address
Other eyewear supplier providers in Fort Pierce
About NPI 1770767733
Shannon L Clark O D P A's National Provider Identifier is 1770767733, issued on Dec 26, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Jul 29, 2008.