Organization
305 VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON EVANS OD (CEO)
(302) 670-4096
Entity
Organization
Contact information
Practice address
9569 S DIXIE HWY, PINECREST, FL 33156-2802
(305) 424-8451
Mailing address
9569 S DIXIE HWY, PINECREST, FL 33156-2802
(305) 424-8451
(305) 424-8526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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