Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIJAH ALLAN JACKSON BANNISTER, OD
ActiveELIJAH ALLAN JACKSON BANNISTER, OD is a Optometrist healthcare provider located in LONGVIEW, Washington. NPI 1558093591 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LONGVIEW, WA
Registration Details
- NPI Number
- 1558093591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2022 (4.1039913762275 yrs)
- Last Updated
- Aug 2, 2022
- License
-
OD61311755 (WA)
Practice Information
- Address
-
820 OCEAN BEACH HWY STE 100LONGVIEW, WA, 986324081Browse WA providers · Browse ZIP 98632
- Phone
- 3606362020
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LONGVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES A. WARDLE | OD | 1649277245 |
| JEFFREY A FRIES | OD | 1407821499 |
| DR. STEPHANIE R SIPE | OD | 1740225077 |
| MICHAEL D. BERGER | O.D. | 1073526554 |
| DR. JAMES THEODORE HENNIG | O.D. | 1912008269 |
| DR. BARBARA M BERGER | O.D. | 1780778670 |
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.