Individual
ROBERT SHANNON WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
171 S CENTRAL AVE, OVIEDO, FL 32765-9027
(407) 365-7475
(407) 365-6919
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621187900
—
FL
Enumeration date
07/31/2006
Last updated
12/24/2020
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