Shannon Chan, OD

NPI #1659194215 in Mill Creek, Washington

Provider Information

NPI Number: 1659194215
Entity Type: Individual
Name: Shannon Chan, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 4, 2024
Last Updated: Aug 12, 2025

Practice Location

Address: 15808 MILL CREEK BLVD STE 110
City: Mill Creek
State: Washington
ZIP Code: 98012-1500
Phone: (425) 745-5650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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