Doctor Cannon PLLC
A Medicare group practice based in Seattle, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991009417), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5991009417
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20160203002226 | WA | Part B Supplier - Clinic/Group Practice | 1578983532 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Doctor Cannon PLLC
- Optometrist
- Seattle, WA
- NPI 1578983532
-
Doctor Cannon PLLC
- Optometrist
- Seattle, WA
- NPI 1023777067
Practice locations
- Seattle, WA2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Mark J Cannon, OD
- Optometrist
- Seattle, WA
- NPI 1407162936
-
Miranda Murray Cannon, O.D.
- Optometrist
- Seattle, WA
- NPI 1104130871
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.