# BERNADETTE SUSAN WOODS-MCSHANE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woods-McShane Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831392323
- **Authorized official:** DR. SUSAN BERNADETTE WOODS O.D (PRESIDENT)
- **Authorized official phone:** (321) 383-7772

## Contact information

- **Practice address:** 4310 S HOPKINS AVE, TITUSVILLE, FL 32780-6610
- **Practice address phone:** (321) 383-7772
- **Mailing address:** 4310 S HOPKINS AVE, TITUSVILLE, FL 32780-6610
- **Mailing address phone:** (321) 383-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2573 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 01/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5886500001 | MEDICARE DME | FL |
| 01 | — | AG499 | PTAN | FL |
