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SHANNON RIVER ENTERPRISESINC. NPI 1932378056


NPI Information

NPI: 1932378056
Provider Name: SHANNON RIVER ENTERPRISES,INC.

Doing Business As: THE OPTICAL SHOP

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
6830 NW 11TH PL
SUITE C
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-1933
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SHANNON RIVER ENTERPRISES,INC. is an eyewear supplier in Gainesville, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHANNON RIVER ENTERPRISES,INC. NPI is 1932378056. The provider is registered as an organization entity type.
The provider Is Doing Business As The Optical Shop.

The provider's business location address is:

6830 NW 11TH PL
SUITE C
GAINESVILLE, FL
ZIP 32605-254
Phone: (352) 331-1933
Fax: (352) 331-7428

The provider's authorized official is William Paul Hogan .
The authorized official title is Owner/optician and has the following contact phone number (352) 331-1933.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 12/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierDO431FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10920240001MEDICARE NSCFLORIDA
20920240001MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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