Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC5259 | FL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 5259 | FL |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 5259 | FL |
N | 152WS0006X | Sports Vision | 5259 | FL |
N | 152WV0400X | Optomitrist - Vision Therapist | 5259 | FL |
N | 152WX0102X | Occupational Vision | 5259 | FL |
NPI | 1013460062 |
---|---|
Provider Name | Dr. Rishi Shah |
First Address | Miami Beach, FL 33139-5246 |
Second Address | Davie, FL 33328-3817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 03/06/2020 |