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WILLIAM J. MALLON, MD
NPI 1336906221
Non-Pharmacy Dispensing Site in Fort Pierce, FL

Active since March 06, 2024
1707 S 25TH ST, FORT PIERCE, FL 34947(772) 299-1404 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William J. Mallon, Md NPPES

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

WILLIAM J. MALLON, MD (NPI 1336906221), doing business as Center For Advanced Eye Care, is a healthcare organization registered as a non-pharmacy dispensing site in Fort Pierce, Florida and active in the NPI registry since March 2024. The organization lists Michelle Malcolm, Rpht, as its authorized official.

NPPES Registry Identity

NPI1336906221
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWILLIAM J. MALLON, MD
Location Address1707 S 25TH STFort Pierce, FL 34947-4709
Mailing Address3500 Us Highway 1Vero Beach, FL 32960-4511 · (772) 299-1404
Phone(772) 299-1404
Organization SubpartYes
Authorized OfficialMichelle MalcolmRpht · (772) 299-1404
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1336906221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1707 S 25TH ST, Fort Pierce, FL 34947
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Other Names 1

Doing Business AsCenter For Advanced Eye Care

Other Providers at the Same Location NPPES

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

SURGERY CENTER OF FT PIERCE LTD
Clinic/Center (Ambulatory Surgical)
1707 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 464-8900

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 William J. Mallon, MD's NPI number?

The NPI number for William J. Mallon, MD is 1336906221. It was assigned to this organization in the NPPES registry on March 6, 2024. The provider is doing business as Center for Advanced Eye Care.

Where is William J. Mallon, MD located?

William J. Mallon, MD is located at 1707 S 25th St, Fort Pierce, FL 34947. The listed phone number is (772) 299-1404.

What is William J. Mallon, MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for William J. Mallon, MD was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.