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

ELIJAH ALLAN JACKSON BANNISTER, OD

Active

ELIJAH 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 100
LONGVIEW, WA, 986324081
Browse 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.