OrganizationActive
Marc Jay Gannon Optometrist PA
NPI 1194974782 · Low Vision Rehabilitation Optometrist · Fort Lauderdale, FL
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
Practice location
2021 E Commercial Blvd
301
Fort Lauderdale, FL 33308-3763
Phone: (954) 776-5223
Fax: (954) 491-0027
Approximate (ZIP-level) locationGet directions
Mailing address
2021 E Commercial Blvd
Fort Lauderdale, FL 33308-3763
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 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.