Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marc Jay Gannon Optometrist PA

Organization Low Vision Rehabilitation Optometrist · NPI 1194974782

Marc Jay Gannon Optometrist PA is a Low Vision Rehabilitation Optometrist in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2021 E Commercial Blvd 301
Fort Lauderdale, FL 33308-3763
Phone: (954) 776-5223
Fax: (954) 491-0027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Low Vision Rehabilitation Optometrist (primary) Taxonomy 152WL0500X · Licence OPC1271 (FL)

Record details

NPI number1194974782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Gannon — Director · (954) 776-5223
NPI enumeratedSeptember 18, 2008
Last updated in NPPESAugust 4, 2009
Mailing address2021 E Commercial Blvd, 301, Fort Lauderdale, FL 33308-3763