Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMANDA LEE GANNON, OD
ActiveMS. AMANDA LEE GANNON, OD is a Optometrist healthcare provider located in BEVERLY, Massachusetts. NPI 1659946093 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BEVERLY, MA
Registration Details
- NPI Number
- 1659946093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2021 (5.1945167422341 yrs)
- Last Updated
- Oct 25, 2023
- License
-
5477 (MA)
Practice Information
- Address
-
495 CABOT ST STE 1BEVERLY, MA, 019152515Browse MA providers · Browse ZIP 01915
- Phone
- 9789215000
- Fax
- 9789215003
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in BEVERLY, MA
| Name | Credential | NPI |
|---|---|---|
| JESSICA L. STEJNA | O.D. | 1699765396 |
| DR. STACY E BEAN | O.D. | 1164498572 |
| SCOTT CLARK | OD | 1205903754 |
| REBECCA BRIDGER | — | 1336794296 |
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.