Active NPI
Shannon Joseph, O.D
- Optometrist
- Weston, FL
National Provider Identifier
1558710228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5208
- Practice address
- 825 Crestview Cir
Weston, FL 33327-1847 - Phone
- (954) 895-2530
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5208 | FL | Primary |
Addresses
Primary practice location
825 Crestview Cir
Weston, FL 33327-1847
Mailing address
825 Crestview Cir
Weston, FL 33327-1847
Phone (954) 895-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5208 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1558710228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CRESTVIEW CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333271847",
"telephone_number": "954-895-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CRESTVIEW CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333271847",
"telephone_number": "954-895-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.