Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON AVENA, OD
ActiveSHANNON AVENA, OD is a Optometrist healthcare provider located in MISHAWAKA, Indiana. NPI 1912459983 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MISHAWAKA, IN
Registration Details
- NPI Number
- 1912459983
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2016 (9.7761405369391 yrs)
- Last Updated
- Apr 16, 2020
- License
-
18004001A (IN)
Practice Information
- Address
-
5111 N MAIN ST STE 200MISHAWAKA, IN, 465459047Browse IN providers · Browse ZIP 46545
- Phone
- 5742778121
- Fax
- 5742714699
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY A. COPPES | O.D. | 1083608608 |
| KIRSTIN P RHINEHART | OD | 1700876067 |
| PAMELA M WISE | OD | 1700863321 |
| KEVIN A DANAHEY | OD | 1497732010 |
| PATRICK ALBERT | O.D. | 1548296718 |
| DR. ANDREW R ANDERSON | OD | 1104854942 |
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.