Marc Jay Gannon Optometrist PA
NPI 1194974782 · Low Vision Rehabilitation Optometrist · Fort Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Jay Gannon Optometrist PA is a Low Vision Rehabilitation Optometrist organization in Fort Lauderdale, FL (NPI 1194974782).
Provider details
- NPI number
- 1194974782
- Entity type
- Organization
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Marc Gannon, Director(954) 776-5223
- License
- OPC1271 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2009-08-04
Frequently asked questions
- What is Marc Jay Gannon Optometrist PA's NPI number?
- Marc Jay Gannon Optometrist PA's National Provider Identifier (NPI) is 1194974782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marc Jay Gannon Optometrist PA?
- Marc Jay Gannon Optometrist PA is classified in the NPPES registry as Low Vision Rehabilitation Optometrist (Eye and Vision Services Providers).
- Where is Marc Jay Gannon Optometrist PA located?
- Marc Jay Gannon Optometrist PA's practice location on file with NPPES is 2021 E Commercial Blvd, Fort Lauderdale, FL 33308-3763.
- What is Marc Jay Gannon Optometrist PA's phone number?
- The practice phone number listed in the NPPES registry for Marc Jay Gannon Optometrist PA is (954) 776-5223.
- Does Marc Jay Gannon Optometrist PA accept Medicare?
- Marc Jay Gannon Optometrist PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Marc Jay Gannon Optometrist PA?
- The authorized official listed on Marc Jay Gannon Optometrist PA's NPPES record is Marc Gannon, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marc Jay Gannon Optometrist PA's NPI active?
- Yes — Marc Jay Gannon Optometrist PA's NPI (1194974782) is active in the NPPES registry as of the last update on 2009-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.