| NPI | 1588856058 |
|---|---|
| Former Name | SHANNON NICOLE SCHAEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CO 2651) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2651) |
| 152W00000X Optometrist (Licence: OR 3229ATI) | |
| 152W00000X Optometrist (Licence: WA OD 60031965) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2023-04-20 |