SHANNON AVENA

MISHAWAKA, IN
NPI1912459983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18004001A)
Enumeration Date2016-10-26
Last Update Date2020-04-16
Business Address
SHANNON AVENA OD
5111 N MAIN ST STE 200
MISHAWAKA, IN 46545-9047
Phone number: 574-277-8121
Mailing Address
SHANNON AVENA OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899