Shannon River Enterprises,Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO431 Issued in FL

Legal business name

SHANNON RIVER ENTERPRISES,INC.

Doing business as

the optical shop

Practice address

6830 NW 11TH PL
Suite C
Gainesville, FL 32605-4254

Phone

(352) 331-1933

Fax

(352) 331-7428

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Paul Hogan, L.D.O.NPI 1851574107

Title

Owner/Optician

Phone

(352) 331-1933

Specialties & licenses 1

Addresses

Other names 1

• the optical shop Doing business as

Locations

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.

• William Hogan, LDO

  • Optician
  • Gainesville, FL
  • NPI 1851574107
  NPD (past) Authorized official

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1932378056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 NW 11TH PL",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054254",
            "telephone_number": "352-331-1933",
            "fax_number": "352-331-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 NW 11TH PL",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054254",
            "telephone_number": "352-331-1933",
            "fax_number": "352-331-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON RIVER ENTERPRISES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "352-331-1933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the optical shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shands/Solantic Joint Venture, LLC
• Shands/Solantic Joint Venture, LLC (CareSpot-Gainesville)
• Julie Shaner, M.D.
• Valli N Shanmugam, M. D.
• Kate Shannahan, PA-C
• Erica Shannon
• Karen Wang Shannon, M.D.
• Molly Catherine Shannon
• Wendy Shannon, LMHC
• Susan Shapiro, CCC-SLP

• Eyewear Supplier in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.