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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES LANNOM, OD

Active

CHARLES LANNOM, OD is a Optometrist healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1205823648 is currently active in the NPPES registry. Verify at CMS.

Optometrist · EDEN PRAIRIE, MN

Registration Details

NPI Number
1205823648
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2005 (20.834434595908 yrs)
Last Updated
Jul 1, 2024
License
1825 (MN)

Practice Information

Address
16550 W 78TH ST
SUITE A
EDEN PRAIRIE, MN, 553464315
Browse MN providers · Browse ZIP 55346
Phone
9529346926
Fax
9529343402
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in EDEN PRAIRIE, MN

Name Credential NPI
JAMES STANLEY ANDERSON OD 1619964459
DR. BRITT ELIZABETH GUSTAFSON O.D. 1851402689
DR. MELISSA SUE VIKER O.D. 1194836353
DR. CHAD R. DOCKTER OD 1104975762
DR. JENNIFER L SCOTT O.F. 1588872147
DR. WYATT PETERSON O.D. 1902035934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.