NPI 1124409222

Shital Shah, OD

Practitioner Optometrist Port Richey, FL

Practice location

Address: 9624 US Highway 19, Port Richey, FL 34668-4642
Phone: (727) 232-2949
Mailing address: 19697 Long Lake Ranch Blvd, Lutz, FL 33558-5494

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC5060 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1124409222
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2015
Record last updated: 30 Jan 2017

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.