Shannon Optical
NPI #1316103153 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1316103153
- Entity Type
- Organization
- Organization Name
- Shannon Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 31, 2008
- Last Updated
- Jul 31, 2008
Practice Location
- Address
- 618 MAIN ST
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81501
- Phone
- (970) 245-2020
Authorized Official
- Name
- MR. WILLIAM DOUGLAS SHANNON, ABO
- Title
- OWNER
- Phone
- (970) 245-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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