Miranda Cannon Pllc

NPI #1801331541 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1801331541
Entity Type: Organization
Organization Name: Miranda Cannon Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 5, 2017
Last Updated: Jan 5, 2017

Practice Location

Address: 504 BARNES BLVD BLDG 504
Address 2: MCCHORD MAIN EXCHANGE OPTOMETRY CENTER
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98438-1304
Phone: (253) 588-1741

Authorized Official

Name: DR. MIRANDA M CANNON, O.D.
Title: OWNER
Phone: (206) 714-8606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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