Individual
DR. ERIN S SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3345 S CONGRESS AVE, LAKE WORTH, FL 33461-3020
(561) 964-0220
(561) 964-6680
Mailing address
2900 W CYPRESS CREEK RD, STE 4, FT LAUDERDALE, FL 33309-1715
(954) 676-8446
(954) 657-9800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 3398
LICENSE NUMBER
FL
Enumeration date
02/14/2007
Last updated
08/06/2021
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