Stacey Marie Hannan, O.D.

NPI #1699711747 in Tarentum, Pennsylvania

Provider Information

NPI Number: 1699711747
Entity Type: Individual
Name: Stacey Marie Hannan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 20, 2006
Last Updated: Dec 20, 2007

Practice Location

Address: 2010 VILLAGE CENTER DR
Address 2: WAL-MART VISION CENTER
City: Tarentum
State: Pennsylvania
ZIP Code: 15084-3844
Phone: (724) 274-0276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X

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