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

DR. EDWARD HOGAN SHANNON JR., O.D.

Active Sole Proprietor

DR. EDWARD HOGAN SHANNON JR., O.D. is a Optometrist healthcare provider located in GAINESVILLE, Georgia. NPI 1225171739 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GAINESVILLE, GA

Registration Details

NPI Number
1225171739
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2007 (19.476475675383 yrs)
Last Updated
Jun 25, 2009
License
OPT000834 (GA)
Sole Proprietor
Yes

Practice Information

Address
422 GREEN STREET PL
GAINESVILLE, GA, 305013318
Browse GA providers · Browse ZIP 30501
Phone
7705351467
Fax
7705350763
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in GAINESVILLE, GA

Name Credential NPI
DR. STEPHEN MICHAEL VEACH OD 1578551826
DR. WILLIAM LUMSDEN MORRISON O.D. 1699703736
JASON K GABRELS OD 1679666747
MARK M NOVOTNY O.D. 1063574176
JODY L WHISENANT O.D. 1891845186
THOMAS J ROSSI O.D. 1598815490
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.