Doctor Cannon PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOCTOR CANNON PLLC

Practice address

1906 Pike Place, Suite 8-B
At Market Optical
Seattle, WA 98101-1055

Phone

(206) 448-7739

Fax

(206) 448-4924

NPI assigned

Dec 16, 2021

Organization subpart

Yes

Parent organization

DOCTOR CANNON PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miranda Murray Cannon, ODNPI 1104130871

Title

Managing Member

Phone

(206) 522-9323

Specialties & licenses 1

Addresses

Other names 1

• Cannon EyeCare (at Pike Place's Market Optical) Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Doctor Cannon PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1578983532

  O20160203002226

  Same enrollment

Tax ID family

Doctor Cannon PLLC2 organizations share this tax ID, including this one

Part of

Doctor Cannon PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Doctor Cannon PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1578983532
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Doctor Cannon PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1578983532
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda Murray Cannon, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1104130871
  NPD Authorized official
• Mark J Cannon, OD

  • Optometrist
  • Seattle, WA
  • NPI 1407162936
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1023777067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 NE UNIVERSITY VILLAGE ST STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055023",
            "telephone_number": "206-522-9323",
            "fax_number": "206-522-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 PIKE PLACE, SUITE 8-B",
            "address_2": "AT MARKET OPTICAL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011055",
            "telephone_number": "206-448-7739",
            "fax_number": "206-448-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR CANNON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTOR CANNON  PLLC",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-522-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon EyeCare (at Pike Place's Market Optical)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Dochow, CN, LMHC
• Amy Bilyk Dock, DPT
• Donna Mae Dockter, RPH
• Alicia Dixon Docter, MS, RD
• Clara Nele Doctolero, PSY.D
• Doctor Cannon PLLC
• Christopher Michael Dodd, MD
• Danny D. Dodd, LMHC
• Nailah Dodd, CNM
• Simran Dodd, PHARMD

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.