Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON ELWOOD, O.D.
Active Sole ProprietorDR. SHANNON ELWOOD, O.D. is a Optometrist healthcare provider located in BENNINGTON, Nebraska. NPI 1568516342 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BENNINGTON, NE
Registration Details
- NPI Number
- 1568516342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.538092561993 yrs)
- Last Updated
- May 23, 2016
- License
-
1201 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8013 N 164TH STBENNINGTON, NE, 680075569Browse NE providers · Browse ZIP 68007
- Phone
- 4022038885
- Primary Specialty
-
Optometrist
152W00000X
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.