MS. Amanda Lee Gannon, OD

NPI #1659946093 in Beverly, Massachusetts

Provider Information

NPI Number: 1659946093
Entity Type: Individual
Name: MS. Amanda Lee Gannon, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 26, 2021
Last Updated: Oct 25, 2023

Practice Location

Address: 495 CABOT ST STE 1
City: Beverly
State: Massachusetts
ZIP Code: 01915-2515
Phone: (978) 921-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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