Dr. Shannon L W Clark Leitenbauer is a Fort Pierce, Florida based female Optometrist with 28 years of experience in Optometry. She completed her graduation from Other in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shannon L W Clark Leitenbauer is OPC0003067 for Optometry in Florida. Dr. Shannon L W Clark Leitenbauer examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Shannon L W Clark Leitenbauer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2305 Oleander Blvd, Fort Pierce, Florida, 34982-5830
Phone:
772-465-6616
Fax:
772-468-2858
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 are as mentioned below.
PAC ID:
7517057854
Enrollment ID:
I20080920000065
NPI Number:
1760401632
NPI Enumeration Date:
19 Jul, 2006
NPI Last Update On:
29 Jul, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannon L W Clark Leitenbauer are as mentioned below.
License Number
Specialization
State
Status
OPC0003067
Optometry
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:
2305 Oleander Blvd, Fort Pierce, Florida
Zip:
34982-5830
Phone Number:
772-465-6616
Fax Number:
772-468-2858
Patients can reach Dr. Shannon L W Clark Leitenbauer 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 09 September, 2024.