MARC JAY GANNON OPTOMETRIST PA
NPI 1194974782
Optometrist - Low Vision Rehabilitation in Fort Lauderdale, FL

Q: What is Marc Jay Gannon Optometrist PA's NPI number?

The NPI number for Marc Jay Gannon Optometrist PA is 1194974782. It was assigned to this organization in the NPPES registry on September 18, 2008.

Q: What is Marc Jay Gannon Optometrist PA's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Active since September 18, 2008

2021 E COMMERCIAL BLVD, 301, FORT LAUDERDALE, FL 33308(954) 776-5223(954) 491-0027 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marc Jay Gannon Optometrist Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC JAY GANNON OPTOMETRIST PA (NPI 1194974782) is a healthcare organization registered as a low vision rehabilitation in Fort Lauderdale, Florida and active in the NPI registry since September 2008. The organization lists Marc Jay Gannon, Director, as its authorized official.

NPPES Registry Identity

NPI1194974782

Entity TypeOrganization

Primary Taxonomy152WL0500X

Legal Business NameMARC JAY GANNON OPTOMETRIST PA

Location Address2021 E COMMERCIAL BLVD, 301Fort Lauderdale, FL 33308-3763

Mailing Address2021 E Commercial Blvd, 301Fort Lauderdale, FL 33308-3763 · (954) 776-5223 · Fax (954) 491-0027

Phone(954) 776-5223

Fax(954) 491-0027

Organization SubpartNo

Authorized OfficialMarc Jay GannonDirector · (954) 776-5223

Enumeration DateSeptember 18, 2008

Last NPPES UpdateAugust 4, 2009

✔ NPI 1194974782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers

Taxonomy Code152WL0500X

License✔ Licensed in FL · OPC1271

Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

2021 E COMMERCIAL BLVD, Fort Lauderdale, FL 33308

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Other Identifiers 2

Medicare UPINT84099

Medicaid078390100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES ERIC HOTTE M.D.

Internal Medicine (Gastroenterology)

2021 E COMMERCIAL BLVD, SUITE 202
FORT LAUDERDALE, FL 33308

Broward County (954) 202-7850

UNITED SERVICES OF SOUTH FLORIDA

Family Medicine (Adult Medicine)

2021 E COMMERCIAL BLVD, SUITE 308
FT LAUDERDALE, FL 33308

Broward County (954) 202-6599

RICHARD N KISHNER MD

Psychiatry & Neurology (Neurology)

2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308

Broward County (954) 928-0611

CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC

Internal Medicine (Gastroenterology)

2021 E COMMERCIAL BLVD, SUITE 202
FT LAUDERDALE, FL 33308

Broward County (954) 202-7850

DAVID MISHKIN D.O. P.A.

Family Medicine

2021 E COMMERCIAL BLVD, SUITE 301
FORT LAUDERDALE, FL 33308

Broward County (954) 202-7899

DR. YASMEEN RAHMAN KHAN M.D

Allergy & Immunology

2021 E COMMERCIAL BLVD, SUITE 302
FORT LAUDERDALE, FL 33308

Broward County (954) 492-5525

KISHNER & CALISE P A

Neurological Surgery

2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308

Broward County (954) 928-0611

YOLANDA CINTRON D.M.D.

Dentist (General Practice)

2021 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33308

Broward County (954) 938-4599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Jay Gannon Optometrist PA's NPI number?

The NPI number for Marc Jay Gannon Optometrist PA is 1194974782. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Marc Jay Gannon Optometrist PA located?

Marc Jay Gannon Optometrist PA is located at 2021 E Commercial Blvd 301, Fort Lauderdale, FL 33308. The listed phone number is (954) 776-5223.

What is Marc Jay Gannon Optometrist PA's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

When was this NPI record last updated?

The NPPES record for Marc Jay Gannon Optometrist PA was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.