Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHRISTOPHER R CANNON, OD
ActiveMR. CHRISTOPHER R CANNON, OD is a Optometrist healthcare provider located in CENTRALLA, Washington. NPI 1811195977 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CENTRALLA, WA
Registration Details
- NPI Number
- 1811195977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2007 (19.074973188944 yrs)
- Last Updated
- Mar 31, 2021
- License
-
OD60084984 (WA)
Practice Information
- Address
-
1125 MELLEN ST.INNOVATION IN EYECARE INC.CENTRALLA, WA, 98531Browse WA providers · Browse ZIP 98531
- Phone
- 3607367385
- Fax
- 3607368568
- 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.