Organization · NPI-2
Bernadette Susan Woods-Mcshane INC
Optometrist · Titusville, FL
NPI number1831392323
StatusActive
Last updated in NPPESJan 14, 2009
Details
- NPI
- 1831392323
- Entity type
- Organization (NPI-2)
- Legal business name
- Bernadette Susan Woods-Mcshane INC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2007
- Last updated
- Jan 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC 2573 | FL | Yes |
Other names
- Woods-Mcshane Eye Care (Doing Business As)
Practice location
4310 S Hopkins AveTitusville, FL 32780-6610
Phone 321-383-7772
Mailing address
4310 S Hopkins AveTitusville, FL 32780-6610
Phone 321-383-7772
Authorized official
Susan Bernadette Woods
President
3213837772
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