NPI 1376569038

William J. Mallon, MD

Organisation Eyewear Supplier Vero Beach, FL

Practice location

Address: 3500 US Highway 1, Vero Beach, FL 32960-4511
Phone: (772) 770-0113
Fax: (772) 299-1455

Authorised official

Name: Mary a Pena-Roque
Title: Optician
Phone: (772) 770-0113

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence DO2093 (FL)

Other Eyewear Supplier providers in Florida →

Registry record

NPI: 1376569038
Entity type: Organization
NPI issued: 14 Jul 2006
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.