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 |