Doctor Cannon Pllc

NPI #1023777067 in Seattle, Washington

Provider Information

NPI Number: 1023777067
Entity Type: Organization
Organization Name: Doctor Cannon Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DOCTOR CANNON PLLC
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2021
Last Updated: Apr 25, 2023

Practice Location

Address: 1906 PIKE PLACE, SUITE 8-B
Address 2: AT MARKET OPTICAL
City: Seattle
State: Washington
ZIP Code: 98101-1055
Phone: (206) 448-7739

Authorized Official

Name: DR. MIRANDA MURRAY CANNON, OD
Title: MANAGING MEMBER
Phone: (206) 522-9323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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