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NPI Code Detail

MEDICARE: LANDMARK EYE, LLC

MEDICARE: LANDMARK EYE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1851282511
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK EYE, LLC
Provider Business Mailing Address
First Line : 1353 N COURTENAY PKWY STE T
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4463
Country : US
Telephone Number : 321-449-2966
Fax Number :
Provider Business Practice Location Address
First Line : 1353 N COURTENAY PKWY STE T
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4463
Country : US
Telephone Number : 321-449-2966
Fax Number :
Authorized Official
Title or Position : PRINCIPAL
Name : DR. WILLIAM SHAW JR.
Credential : MD
Telephone Number : 321-210-6322
Provider Enumeration Date : 07/11/2025
Last Update Date : 05/17/2026

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Directions to “LANDMARK EYE, LLC ” Practice Location

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