DR. ERIN S SHANNON (NPI# 1134262983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134262983 |
| Entity Type | Individual |
| Full Name | DR. ERIN S SHANNON |
| Credential | OD |
| Practice Address |
3345 S Congress Ave Lake Worth FL 33461-3020 |
| Practice Telephone | 5619640220 |
| Practice Fax Number | 5619646680 |
| Mailing Telephone | 5619640220 |
| Mailing Fax Number | 5619646680 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 3398 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE NUMBER | OPC 3398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225320823 | Erin Shannon | Social Worker | 302 N Edgewood Ave, La Grange Park, IL 60526-5506 | 2011-05-14 |
| 1720145204 | Erin J Shannon | Dentist | 812 State Fair Blvd, Syracuse, NY 13209-1312 | 2007-01-03 |
| 1093777674 | Erin Kate Shannon | Physician Assistant | 3240 Monroe Ave, Rochester, NY 14618 | 2006-04-06 |
| 1912472598 | Erin Christa Shannon | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-10-10 |
| 1134637580 | Erin Shannon | Speech-Language Pathologist | 2900 Curry Ln, Green Bay, WI 54311-5857 | 2018-01-19 |
| 1851814941 | Erin Shannon | Marriage & Family Therapist | 1 Lois St, Norwalk, CT 06851-4404 | 2017-07-20 |
| 1023453511 | Erin Michelle Shannon | Speech-Language Pathologist | 4545 N 36th St, 125a, Phoenix, AZ 85018-3462 | 2013-05-09 |
| 1437400801 | Erin K. Shannon | Social Worker | 6430 Coulson Ct, Lansing, MI 48911-5631 | 2012-09-26 |
| 1427314541 | Erin Blum Shannon | Speech-Language Pathologist | 700 Ashford Ave, Ardsley, NY 10502-2406 | 2012-04-03 |
| 1528203767 | Erin Mary Shannon | Social Worker | 271 S Main St, Plymouth, MI 48170-1637 | 2008-12-02 |
| Street Address |
3345 S CONGRESS AVE |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| 1275157570 | Sasha Patel | Optometrist | 5900 S State Road 7, Lake Worth, FL 33449-5438 | 2020-06-02 |
| 1083106934 | Kara Brackney Hayes | Optometrist | 9266 Olmstead Dr, Lake Worth, FL 33467-3602 | 2018-06-05 |
| 1649769985 | Loren Baza | Optometrist | 6014 Azle Ave Ste 200, Lake Worth, TX 76135-2603 | 2018-05-02 |
| 1568816635 | Alex Conley | Optometrist | 6060 Azle Ave Ste 500, Lake Worth, TX 76135-2612 | 2016-04-14 |
| 1609276880 | Ashley Baker | Optometrist | 6045 Hagen Ranch Rd Ste 5, Lake Worth, FL 33467-7251 | 2014-08-25 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1043535404 | Mahalo Enterprises Corporation | Optometrist | 6486 Lake Worth Road, Lake Worth, FL 33463 | 2010-03-29 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1730393083 | Catherine Fiedler | Optometrist | 3345 S. Congress Ave, Lake Worth, FL 33461 | 2007-05-09 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on DR. ERIN S SHANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.