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Organization
BERNADETTE SUSAN WOODS-MCSHANE INC
Active
Organization
BERNADETTE SUSAN WOODS-MCSHANE INC
Active
Other names
Woods-McShane Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BERNADETTE WOODS O.D (PRESIDENT)
(321) 383-7772
Entity
Organization
Contact information
Practice address
4310 S HOPKINS AVE, TITUSVILLE, FL 32780-6610
(321) 383-7772
Mailing address
4310 S HOPKINS AVE, TITUSVILLE, FL 32780-6610
(321) 383-7772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5886500001
MEDICARE DME
FL
01
—
AG499
PTAN
FL
Enumeration date
06/11/2007
Last updated
01/14/2009
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