Shannon L Clark O D P A is a Eyewear Supplier (equipment, Not The Service) Store in Fort Pierce, Florida. It is situated at 2305 Oleander Blvd, Fort Pierce and its contact number is 772-465-6616. The authorized person of Shannon L Clark O D P A is Dr. Shannon L W Clark Leitenbauer
who is President/owner of the store and their contact number is 772-465-6616. Primary license number for Shannon L Clark O D P A is OPC 0003067 in Florida.
Shannon L Clark O D P A is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Shannon L Clark O D P A Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
| Specialization: | Eyewear Supplier (equipment, Not The Service) |
| Address: | 2305 Oleander Blvd, Fort Pierce,
Florida, 34982-5830 |
| Phone: | 772-465-6616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shannon L W Clark Leitenbauer |
| Position: | President/owner |
| Contact Number: | 772-465-6616 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shannon L Clark O D P A center are as mentioned below.
| NPI Number: | 1770767733 |
| NPI Enumeration Date: | 26 Dec, 2007 |
| NPI Last Update On: | 29 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon L Clark O D P A are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | OPC 0003067 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shannon L Clark O D P A
2305 Oleander Blvd,
Fort Pierce, Florida |
| Zip: | 34982-5830 |
| Phone Number: | 772-465-6616 |
Patients can reach Shannon L Clark O D P A at
2305 Oleander Blvd, Fort Pierce, Florida or can
call to book an appointment on 772-465-6616. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.