Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY SHANNON, O.D.
ActiveDR. KELLY SHANNON, O.D. is a Optometrist healthcare provider located in CORVALLIS, Oregon. NPI 1760937510 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CORVALLIS, OR
Registration Details
- NPI Number
- 1760937510
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2016 (9.7911813068796 yrs)
- Last Updated
- Aug 22, 2016
- License
-
4059AT (OR)
Practice Information
- Address
-
1597 SW 53RD STCORVALLIS, OR, 973332630Browse OR providers · Browse ZIP 97333
- Phone
- 5417578844
- Fax
- 5417549810
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ED CHARLES BAER | OD | 1356341275 |
| DR. ERIC H KNUTSON | O.D. | 1982679114 |
| DR. ROBERT BRUCE YOUNG | O.D. | 1821063694 |
| DR. JAMES ROSS HALE | O.D. | 1215903125 |
| JULIE A WEBER | O.D. | 1265482947 |
| DR. JAY ALEX SEITZ | O.D. | 1649382821 |
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.