Shannon L Boyer MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME36398 Issued in FL

Legal business name

SHANNON L BOYER MD

Practice address

2702 Rew Cir
Suite a
Ocoee, FL 34761-4226

Phone

(407) 656-5505

Fax

(407) 656-9688

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shannon L Boyer, MD

Title

Doctor

Phone

(407) 656-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHANNON BOYER Other name

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1396134979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 REW CIR",
            "address_2": "SUITE A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614226",
            "telephone_number": "407-656-5505",
            "fax_number": "407-656-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 REW CIR",
            "address_2": "SUITE A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614226",
            "telephone_number": "407-656-5505",
            "fax_number": "407-656-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON L BOYER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-656-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME36398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039822500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANNON BOYER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rita Severe
• Khurram Shahzad, M.D.
• Shallomstar Healthcare Agency (LLC.)
• Talha Shamim, M.D.
• Yasheka N Shand, FNP
• Anthony Sharp, NP-C
• Adam Shaw Sr., PT
• Ilana Shaw
• Ahmad Shehab, PHARMD
• Aafaq R Sheikh

• Ophthalmology Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.