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

SHANNON KOENDERS VELDKAMP, OD

Active Sole Proprietor

SHANNON KOENDERS VELDKAMP, OD is a Vision Therapy Optometrist healthcare provider located in COON RAPIDS, Minnesota. NPI 1902391626 is currently active in the NPPES registry. Verify at CMS.

Vision Therapy Optometrist · COON RAPIDS, MN

Registration Details

NPI Number
1902391626
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2018 (8.1192205032849 yrs)
Last Updated
Oct 2, 2023
License
3577 (MN)
Sole Proprietor
Yes

Practice Information

Address
12771 RIVERDALE BLVD NW
COON RAPIDS, MN, 554481262
Browse MN providers · Browse ZIP 55448
Phone
7634211220
Fax
7634211291
Primary Specialty
Vision Therapy Optometrist
152WV0400X
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.