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

SHANE BENALLY, OD

Active

SHANE BENALLY, OD is a Optometrist healthcare provider located in SANTO DOMINGO PUEBLO, New Mexico. NPI 1588387294 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SANTO DOMINGO PUEBLO, NM

Registration Details

NPI Number
1588387294
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2022 (3.8671702719193 yrs)
Last Updated
Jul 22, 2025
License
ODP-100585 (ID)

Practice Information

Address
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM, 870521283
Browse NM providers · Browse ZIP 87052
Phone
5054651169
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.