MR. Christopher R Cannon, OD

NPI #1811195977 in Centralla, Washington

Provider Information

NPI Number: 1811195977
Entity Type: Individual
Name: MR. Christopher R Cannon, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 10, 2007
Last Updated: Mar 31, 2021

Practice Location

Address: 1125 MELLEN ST.
Address 2: INNOVATION IN EYECARE INC.
City: Centralla
State: Washington
ZIP Code: 98531
Phone: (360) 736-7385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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