Organization
SHANNON RIVER ENTERPRISES,INC.
Active
Other names
the optical shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PAUL HOGAN L.D.O. (OWNER/OPTICIAN)
(352) 331-1933
Entity
Organization
Contact information
Practice address
6830 NW 11TH PL, SUITE C, GAINESVILLE, FL 32605-4254
(352) 331-1933
(352) 331-7428
Mailing address
6830 NW 11TH PL, SUITE C, GAINESVILLE, FL 32605-4254
(352) 331-1933
(352) 331-7428
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO431
FL
Other
Enumeration date
02/22/2008
Last updated
12/04/2008
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