Dr. Shannon Joseph O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5208 Issued in FL

Legal business name

DR. SHANNON JOSEPH O.D., LLC

Practice address

12801 W Sunrise Blvd
Sunrise, FL 33323-4020

Phone

(954) 895-2530

NPI assigned

Aug 20, 2016

Last updated

Aug 20, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Joseph, O.D.NPI 1558710228

Title

Doctor of Optometry

Phone

(954) 895-2530

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Joseph, O.D

  • Optometrist
  • Weston, FL
  • NPI 1558710228
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1093260903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE",
            "address_2": "#718",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "954-895-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333234020",
            "telephone_number": "954-895-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHANNON JOSEPH O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "954-895-2530",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Renee Downs, D.P.T.
• Morgan Griffin Dozier
• Dr Niurka Santana & Associates Inc
• Dr Thomas OD PA
• Dr. Phillip Haiman and Associates, P.a.
• Laurent R. Dreyfuss, DO
• Zoran Drmanovic, MD
• Gilbert L. Drozdow, MD
• Richard G. Drucker, MD
• Julie Alyse Drujak, PHARM D

• Optometrist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.