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Individual

DR. RISHI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4671 S UNIVERSITY DR, DAVIE, FL 33328-3817
(703) 861-2789
Mailing address
910 WEST AVE APT 1514, MIAMI BEACH, FL 33139-5246
(703) 861-2789

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5259
FL
152WC0802X
Corneal and Contact Management Optometrist
5259
FL
152WL0500X
Low Vision Rehabilitation Optometrist
5259
FL
152WS0006X
Sports Vision Optometrist
5259
FL
152WV0400X
Vision Therapy Optometrist
5259
FL
152WX0102X
Occupational Vision Optometrist
5259
FL

Other

Enumeration date
07/26/2016
Last updated
06/03/2020
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