Organization
MARC JAY GANNON OPTOMETRIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JAY GANNON O.D. (DIRECTOR)
(954) 776-5223
Entity
Organization
Contact information
Practice address
2021 E COMMERCIAL BLVD, 301, FORT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Mailing address
2021 E COMMERCIAL BLVD, 301, FORT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC1271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078390100
—
FL
Enumeration date
09/18/2008
Last updated
08/04/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us