Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE BENALLY, OD
ActiveSHANE 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 22SANTO DOMINGO PUEBLO, NM, 870521283Browse 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.